Roseland Christian Ministries

 

 

Please fill out and return via mail, fax, or email. We will contact you as soon as we can confirm your visit. 

 

 

Organization: _____________________________________________________________________________

 

Contact Person(s): ____________________________________ Email: ______________________________

 

Address: ____________________________________________ City, State, Zip: _______________________

 

Phone Numbers (Please give at least 2 choices.):

1: ______________________ Belongs To:___________    2: ___________________Belongs To: ___________      

    ( ) cell   ( )home   ( )work                                                     ( ) cell   ( )home   ( )work 

 

3: ______________________ Belongs To:___________    4: ___________________Belongs To: ___________      

    ( ) cell   ( )home   ( )work                                                     ( ) cell   ( )home   ( )work 

 

Approximate # of: People ______ Females Under 18 _______ Males Under 18 _______

                                                         Adult Females __________ Adult Males __________

(Please contact us ASAP if your numbers change.)

 

Please Check What Best Describes Your Group: ( ) Junior High         ( ) High School             ( ) College

( ) Adult Small Group      ( ) Multi-Generational          (   ) Other: ____________________________

 

What is your mode of transportation while in Roseland? _______________________________________

 

Are you interested in having a community or staff member come and speak to your group about Roseland and the vision of the ministry?   ______ Yes   _____ No

 

Has your group volunteered at Roseland Christian Ministries before?   ____ YES   ____ NO

If you have, what were there the approximate dates of your last visit? __________________

 

Please list any special circumstances that we should know about prior to your arrival (medical conditions, early departures, transportation issues, food issues, etc.). ________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

 

 

Volunteer Participation Dates (Please give us your 1^st, 2^nd, and 3^rd choice of available dates. Fill in as many as possible.):

 

Choice 1: ___________________    Choice 2: ___________________    Choice 3: ______________________

 

Do you have any particular request for a certain type of volunteer work? _________________________________________________________________________________________

_________________________________________________________________________________________

 

Do you have any volunteers with construction, electric, plumbing, or painting skills? If so, explain. _________________________________________________________________________________________

______________________________________________________________________________

 

Please check the projects your group would be willing to participate in during your visit:

(   ) Garbage Pick-up              (   ) Yard Work            (   ) Food Distribution and Prep        (   ) Tutoring Kids      (   ) Installing a Fence                    (   ) Demolition             (   ) Lifting/Sorting at Thrift Store     (   ) Dry-Walling 

(   ) Shingling a Roof                         (   ) Cleaning                (   ) Building a Porch                          (   ) Painting                (   ) Placing Tile                       (   ) Laying Carpet       (   ) Trim Work                                   (   ) Window Work 

(   ) Heating/Cooling              (   ) Electrical Work      (   ) Framing                                      (   ) Plumbing  

(   ) Landscaping                     (   ) Gutter Work         (   ) Taping/Mudding                          (   ) Kids Activities

 

Are you able to bring some supplies once you know your assigned projects?   ____ Most Likely   ____ No

 

Are you able to provide financial help to cover the cost of the supplies for your assigned projects?

____ Yes    ____ No   If yes, approximately how much? _________ 

(This amount helps us to know what sort of projects to assign your group.)

 

If you are with us on a Sunday morning, would you be willing to participate in buying, preparing, and serving a breakfast for our homeless men and women at our church (approximately 40 people)? _____ Yes    _____ No

 

If you are with us on a Wednesday or Thursday night during the school year, would you be willing to help in our neighborhood tutoring/Bible club at our church from 5pm-7pm? ____ Yes   ____ No

 

Are you willing to buy, prepare, and serve an evening meal to our women’s and children’s shelter (approximately 70 people)?   _____ Yes   _____ No

 

Are you willing to buy and prepare a craft or activity for the children in the shelter? ____ Yes    ____ No

 

Are you willing to run a clothing, school supply, or hygiene kit drive at your church or organization prior to your visit?   _____ Yes    _____ No

 

 

 

 

 

 

 

 

 

Roseland Christian Ministries offers a volunteer living space at the ministry center for participating groups. It offers a kitchen, two bathrooms each with a shower, two sleeping spaces, and a meeting area. It is not air-conditioned, but there is an air-conditioned room that is connected to the volunteer space that can be used. Each individual must provide their own bedding, towel, and tolietries. We have 10 mattresses, so please bring air-mattresses accordingly. Please also remember to buy your own paper supplies for the kitchen. 

 

If you are with us Monday through Friday for lunch or dinner, you are more than welcome to eat with our community members in the drop-in center. This means that you are responsible for breakfast each day along with weekend meals. 

 

If you choose to use our facilities, the cost is $5 per day per person. This minimal fee is in place to cover our utility, building, maintenance, and food costs. Please either send the money prior to your arrival or bring it with you to Roseland Christian Ministries.    

 

Will you be using our facilities while you volunteer at Roseland? _____ Yes   _____ No

 

If you are staying with us:

   Arrival - Date: ______ Time:______                     Departure -   Date: _______ Time:________

 

Will you be spending any days or evenings away from Roseland (site-seeing, etc.)? If so, when?

____ No   ____ Yes   When? ____________________________________________________________

 

 

We are looking forward to your participation at Roseland Christian Ministries. We will do our best to communicate with you along the way about your time with us, but please realize that inner-city ministries run on three things: flexibility, patience, and lots of grace. We appreciate your help, time, and energy in planning, and we are blessed that you have chosen to serve with us in the Roseland community. We will be praying for your time that it would be just as much a blessing to you as it is to us. 

 

Please make a copy of this application for your records, and then send this application to:

                                                                                   

Roseland Christian Ministries

                                                                                    Attn: Laura Ten Clay

                                                                                    10858 S. Michigan Avenue

                                                                                    Chicago, IL 60628

 

or send it via fax (773-264-9442) or email (laura.tenclay@gmail.com).

                                                           

                                                                                                                        Blessings,

                                                                                                                        Laura Ten Clay

                                                                                                                        Volunteer Coordinator