Title

First Name *

Last Name *

E-Mail *

Phone Number *

Address *

Address 2

City *

Province/State *

Postal/Zip Code *

I would like to volunteer: * At the Crossroads CentreFrom Home

To volunteer from home, I confirm I have a computer and High Speed Internet.

Briefly describe how you know the Lord *

I have accepted Christ as my personal saviour more than 2 years ago

I am maturing spiritually through regular Bible reading and prayer

I belong to a local church and can get a reference from a leader at the church

I can commit to a consistent day and time each week

2 + 4 = ? Please prove that you are human by solving the equation *