Carol Vance #41

Team Service Update

To update our volunteer database, please fill out the form below if you have not served on a team in the last two years.

Carol Vance #45

Team Application

(You must be a least eighteen years old. Please fill in all blanks)

A mandatory Team Formation period is required in preparation for each Kairos Weekend. Its primary purpose is to unify the Team in the Spirit of Christ. This Team Formation period is highly structured with a well defined agenda. The Team learns about the prison environment and the current rules of the prison. Specific tasks pertaining to the program are defined, explained, and assigned during the Team Formation. KAIROS is a continuing ministry. Team service also includes the participation in KAIROS’s continuing ministry-such as monthly meetings at the prison.

If accepted to serve on this Team, I agree to attend the Team Formation meetings, to participate in the continuing ministry of Kairos, to abide by the rules and policies of Kairos and the prison, and to support in good faith the activities and the spirit of Kairos.

(Use the tab key to move to each field to fill out the form before printing.)

First Name (for Name Tag): / First Name (on Driver’s License): / Last Name (on Driver’s License):
Home Address: / “Safe” Mailing Address:
City, State Zip
City, / State / Zip
Home Phone: / Work Phone: / Cell Phone: / Never Served on a Kairos Team
Email: / Gender:
M F / Layperson
Clergy / Musician
Texas Driver’s License No: / SSN:
Not Required at Carol Vance. / Date of Birth:
Not Req. / Dept of Corrections Trained?
Mo/Year Trained
Attended Emmaus/Cursillo/etc? / Year Attended: / Participate in reunion Group?
Attended Qualifying Weekend?
Ex-Offender? / Dept of Corrections No. / Year Released
Currently on Parole?
Are you on a visitation list for any inmates in this prison?
Relationship to you: / If so, Name:
Dept of Corrections No.
I certify that the information provided on this application is complete and true to the best of my knowledge.
Your Signature: Date:
Church Name: / Denomination:
Pastor’s Name: / Church Telephone:
Pastor’s Approval: / Date:

Please enter you’re most recent Kairos position and talk.

Unit Name / Year / Job / Talk/Meditation
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)
Inside CoordInside Coord AsstHead ServantHead Servant AsstClergy Musician LdrMusicianClergy LdrFamily LdrFamily AsstFamily ClergyOutside CoordOutside Coord AsstRunner/DriverKitchen LdrKitchen Ldr AsstKitchen TeamAgape CoordLeader-Advising LeaderLeader-ObservingState ObserverOther / LT ChoicesCT You Are Not AloneLT Friendship with GodLM Acceptance SelfLT ChurchLT Opening the DoorLM Accept God's ForgivenessLM Forgive Others 1LT DiscoveryLT ActionLM The WallLT A ChristianLM Forgive Others 2LT TomorrowLT ListeningLT Hang (Lighting The Way)LT Lifeline (Footprints)

C.E.P.C. = Christ Evangelical Presbyterian Church

Safe mailing address is usually your home church.

TDCJ training needs to be done and can be accessed by https://www.tdcj.state.tx.us/php/volunteer_application/

2 12/21/2009