Holy Rosary Catholic Church Stewardship Time and Talent Survey Discover and select ways you can share your time and talents with your parish family. LinkedInThis field is for validation purposes and should be left unchanged.General Information* indicates required informationToday's Date*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920How many adults live in your household?*If more than 2 independant adults live in the household, please fill out another Time & Talent form for additional adults. If dependant adults live in the household, see next question.12How many children or dependant adults live in your household?*--please select from the following--012345678Family Last Name*Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone #if applicable What is your or your family's preferred Mass?* 5:30 pm Saturday at Holy Rosary 9:30 am Sunday at Holy Rosary Adult #1Adult 1 Name* First Last Safe Environment Compliance Volunteers are required to understand the Safe Environment policies and comply with them when serving in our parish. Please ensure you are compliant with Safe Environment requirements by visiting: diojeffcity.org/safe-environmentI have completed the Safe Environment training through Virtus.org. Yes No Not Sure Adult 1 Birthdate*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Adult 1 Cell #*Preferred Method of Contact*Choose all that apply Text Email Cell Phone Home Phone Adult 1 Email Address If married, what is your wedding date?MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please enter the name of the church, city and state in which you were married.Adult #2Adult 2 Name First Last Safe Environment Compliance Volunteers are required to understand the Safe Environment policies and comply with them when serving in our parish. Please ensure you are compliant with Safe Environment requirements by visiting: diojeffcity.org/safe-environmentI have completed the Safe Environment training through Virtus.org. Yes No Not Sure Adult 2 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Adult 2 Cell #Adult 2 Email Address Preferred Method of ContactChoose all that apply Text Email Cell Phone Home Phone Child #1Child/Dependent #1 Name First Middle Last Child/Dependent #1 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female Is this child/dependent in school? What school does he/she attend and what grade level?What Sacraments has your child/dependent received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child/Dependent #2Child/Dependent #2 Name First Middle Last Child/Dependent #2 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female Is this child/dependent in school? What school does he/she attend and what grade level?What Sacraments has your child/dependent received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child/Dependent #3Child/Dependent #3 Name First Middle Last Child/Dependent #3 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female If this child/dependent is in school, what school does he/she attend and what grade level?What Sacraments has your child/dependent received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child/Dependent #4Child/Dependent #4 Name First Middle Last Child/Dependent #4 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female If this child/dependent is in school, what school does he/she attend and what grade level?What Sacraments has your child/dependent received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet ChildDependent #5Child/Dependent #5 Name First Middle Last Child/Dependent #5 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female If this child/dependent is in school, what school does he/she attend and what grade level?What Sacraments has your child/dependent received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child/Dependent #6Child/Dependent #6 Name First Middle Last Child/Dependent #6 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female If this child/dependent is in school, what school does he/she attend and what grade level?What Sacraments has your child/dependent received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child/Dependent #7Child/Dependent #7 Name First Middle Last Child/Dependent #7 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Femaile If this child/dependent is in school, what school does he/she attend and what grade level?What Sacraments has your child/dependent received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child/Dependent #8Child/Dependent #8 Name First Middle Last Child/Dependent #8 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female If this child/dependent is in school, what school does he/she attend and what grade level?What Sacraments has your child/dependent received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet PIllar of HospitalityPlease select all that apply. Adult 1Please select all the options in which you would like to serve. Church Greeters Church Ushers Funeral Dinners Lucky Hearts Banquet, volunteer Parish Event Reception, volunteer St. Peter's Church, Brush Creek, volunteer Welcome Committee Youth Ministry Loaves and Fishes (provide food for youth events) I am unsure where to serve, please contact me. Adult 2Please select all the options in which you would like to serve. Church Greeters Church Ushers Funeral Dinners Lucky Hearts Banquet, volunteer Parish Event Reception, volunteer St. Peter's Church, Brush Creek, volunteer Welcome Committee Youth Ministry Loaves and Fishes (provide food for youth events) I am unsure where to serve, please contact me. Child #1Please select all the options in which you would like to serve. Church Greeters Church Ushers Parish Event Reception, volunteer St. Peter's Church, Brush Creek, volunteer Welcome Committee Child #2Please select all the options in which you would like to serve. Church Greeters Church Ushers Parish Event Reception, volunteer St. Peter's Church, Brush Creek, volunteer Welcome Committee Child #3Please select all the options in which you would like to serve. Church Greeters Church Ushers Parish Event Reception, volunteer St. Peter's Church, Brush Creek, volunteer Welcome Committee Child #4Please select all the options in which you would like to serve. Church Greeters Church Ushers Parish Event Reception, volunteer St. Peter's Church, Brush Creek, volunteer Welcome Committee Child #5Please select all the options in which you would like to serve. Church Greeters Church Ushers Parish Event Reception, volunteer St. Peter's Church, Brush Creek, volunteer Welcome Committee Child #6Please select all the options in which you would like to serve. Church Greeters Church Ushers Parish Event Reception, volunteer St. Peter's Church, Brush Creek, volunteer Welcome Committee Child #7Please select all the options in which you would like to serve. Church Greeters Church Ushers Parish Event Reception, volunteer St. Peter's Church, Brush Creek, volunteer Welcome Committee Child #8Please select all the options in which you would like to serve. Church Greeters Church Ushers Parish Event Reception, volunteer St. Peter's Church, Brush Creek, volunteer Welcome Committee Do you want to serve as a family in any of the following?Please select all the options in which you would like to serve as a family. Church Greeters Church Ushers Funeral Dinners Lucky Hearts Banquet, volunteer Parish Event Reception, volunteer St. Peter's Church, Brush Creek, volunteer Welcome Committee Youth Ministry Loaves and Fishes (provide food for youth events) Pillar of PrayerAdult 1Please select all the options in which you would like to serve. Adoration Chapel Committee Eucharistic Adoration Altar Server Extraordinary Minister of Holy Communion Lector Cross Bearer Music Ministry. Choir Music Ministry, Cantor/Songleader Music Ministry, Musician^ Music Ministry, Music Liturgy Planning Offertory Gift Bearer Sacristan LIturgy Committee Rosary Leader before weekend Masses Join a Prayer Group Receive Flocknote with Prayer Requests Seasonal Church Decorating I am unsure where to serve, please contact me. Adult 2Please select all the options in which you would like to serve. Adoration Chapel Committee Eucharistic Adoration Altar Server Extraordinary Minister of Holy Communion Lector Cross Bearer Music Ministry. Choir Music Ministry, Cantor/Songleader Music Ministry, Musician^ Music Ministry, Music Liturgy Planning Offertory Gift Bearer Sacristan LIturgy Committee Rosary Leader before weekend Masses Join a Prayer Group Receive Flocknote with Prayer Requests Seasonal Church Decorating I am unsure where to serve, please contact me. Child #1Please select all the options in which you would like to serve. Eucharistic Adoration Altar Server Lector Cross Bearer Music Ministry. Choir Music Ministry, Cantor/Songleader Music Ministry, Musician^ Offertory Gift Bearer Sacristan Join a Prayer Group (7th-12th grade) Receive Flocknote with Prayer Requests Seasonal Church Decorating Child #2Please select all the options in which you would like to serve. Eucharistic Adoration Altar Server Lector Cross Bearer Music Ministry. Choir Music Ministry, Cantor/Songleader Music Ministry, Musician^ Offertory Gift Bearer Sacristan Join a Prayer Group (7th-12th grade) Receive Flocknote with Prayer Requests Seasonal Church Decorating Child #3Please select all the options in which you would like to serve. Eucharistic Adoration Altar Server Lector Cross Bearer Music Ministry. Choir Music Ministry, Cantor/Songleader Music Ministry, Musician^ Offertory Gift Bearer Sacristan Join a Prayer Group (7th-12th grade) Receive Flocknote with Prayer Requests Seasonal Church Decorating Child # 4Please select all the options in which you would like to serve. Eucharistic Adoration Altar Server Lector Cross Bearer Music Ministry. Choir Music Ministry, Cantor/Songleader Music Ministry, Musician^ Offertory Gift Bearer Sacristan Join a Prayer Group (7th-12th grade) Receive Flocknote with Prayer Requests Seasonal Church Decorating Child #5Please select all the options in which you would like to serve. Eucharistic Adoration Altar Server Lector Cross Bearer Music Ministry. Choir Music Ministry, Cantor/Songleader Music Ministry, Musician^ Offertory Gift Bearer Sacristan Join a Prayer Group (7th-12th grade) Receive Flocknote with Prayer Requests Seasonal Church Decorating Child #6Please select all the options in which you would like to serve. Eucharistic Adoration Altar Server Lector Cross Bearer Music Ministry. Choir Music Ministry, Cantor/Songleader Music Ministry, Musician^ Offertory Gift Bearer Sacristan Join a Prayer Group (7th-12th grade) Receive Flocknote with Prayer Requests Seasonal Church Decorating Child #7Please select all the options in which you would like to serve. Eucharistic Adoration Altar Server Lector Cross Bearer Music Ministry. Choir Music Ministry, Cantor/Songleader Music Ministry, Musician^ Offertory Gift Bearer Sacristan Join a Prayer Group (7th-12th grade) Receive Flocknote with Prayer Requests Seasonal Church Decorating Child #8Please select all the options in which you would like to serve. Eucharistic Adoration Altar Server Lector Cross Bearer Music Ministry. Choir Music Ministry, Cantor/Songleader Music Ministry, Musician^ Offertory Gift Bearer Sacristan Join a Prayer Group (7th-12th grade) Receive Flocknote with Prayer Requests Seasonal Church Decorating Do you want to serve as a family in any of the following?Please select all the options in which you would like to serve as a family. Eucharistic Adoration Music Ministry. Choir Music Ministry, Cantor/Songleader Music Ministry, Musician^ Offertory Gift Bearer Sacristan Rosary Leader before weekend Masses Join a Prayer Group Receive Flocknote with Prayer Requests Seasonal Church Decorating Pillar of FormationAdult 1Please select all the options in which you would like to serve. Attend Steubenville Youth Conference as a Chaperone Attend Teens Encounter Christ (16-21 y/o) Attend Teens Encounter Christ, Observer (22+ y/o) Attend a Cursillo (18+ y/o) Attend a Welcome (formerly CRHP) Participate in Faith Formation Groups Marriage Preparation Facilitators Religious Education Core Team Participate in Young Adult Ministry Rite of Christian Initiation for Adults (RCIA), Attend Learning Sessions RCIA, Catechist/Teacher Youth Ministry Adult Volunteer^^ I am unsure where to serve, please contact me. Adult 2Please select all the options in which you would like to serve. Attend Steubenville Youth Conference as a Chaperone Attend Teens Encounter Christ (16-21 y/o) Attend Teens Encounter Christ, Observer (22+ y/o) Attend a Cursillo (18+ y/o) Attend a Welcome (formerly CRHP) Participate in Faith Formation Groups Marriage Preparation Facilitators Religious Education Core Team Participate in Young Adult Ministry Rite of Christian Initiation for Adults (RCIA), Attend Learning Sessions RCIA, Catechist/Teacher Youth Ministry Adult Volunteer^^ I am unsure where to serve, please contact me. Child #1Please select all the options in which you would like to serve. Attend Chosen High School Youth Group Attend SEC 7/8 grade Youth Group Attend Steubenville Youth Conference Attend Camp Tolton Attend a Quest (13-15 y/o) Attend Teens Encounter Christ, Candidate (16-21 y/o) Attend Totus Tuus Attend Parish School of Religion (PSR) Participate in Faith Formation Groups Child #2Please select all the options in which you would like to serve. Attend Chosen High School Youth Group Attend SEC 7/8 grade Youth Group Attend Steubenville Youth Conference Attend Camp Tolton Attend a Quest (13-15 y/o) Attend Teens Encounter Christ, Candidate (16-21 y/o) Attend Totus Tuus Attend Parish School of Religion (PSR) Participate in Faith Formation Groups Child #3Please select all the options in which you would like to serve. Attend Chosen High School Youth Group Attend SEC 7/8 grade Youth Group Attend Steubenville Youth Conference Attend Camp Tolton Attend a Quest (13-15 y/o) Attend Teens Encounter Christ, Candidate (16-21 y/o) Attend Totus Tuus Attend Parish School of Religion (PSR) Participate in Faith Formation Groups Child #4Please select all the options in which you would like to serve. Attend Chosen High School Youth Group Attend SEC 7/8 grade Youth Group Attend Steubenville Youth Conference Attend Camp Tolton Attend a Quest (13-15 y/o) Attend Teens Encounter Christ, Candidate (16-21 y/o) Attend Totus Tuus Attend Parish School of Religion (PSR) Participate in Faith Formation Groups Child #5Please select all the options in which you would like to serve. Attend Chosen High School Youth Group Attend SEC 7/8 grade Youth Group Attend Steubenville Youth Conference Attend Camp Tolton Attend a Quest (13-15 y/o) Attend Teens Encounter Christ, Candidate (16-21 y/o) Attend Totus Tuus Attend Parish School of Religion (PSR) Participate in Faith Formation Groups Child #6Please select all the options in which you would like to serve. Attend Chosen High School Youth Group Attend SEC 7/8 grade Youth Group Attend Steubenville Youth Conference Attend Camp Tolton Attend a Quest (13-15 y/o) Attend Teens Encounter Christ, Candidate (16-21 y/o) Attend Totus Tuus Attend Parish School of Religion (PSR) Participate in Faith Formation Groups Child #7Please select all the options in which you would like to serve. Attend Chosen High School Youth Group Attend SEC 7/8 grade Youth Group Attend Steubenville Youth Conference Attend Camp Tolton Attend a Quest (13-15 y/o) Attend Teens Encounter Christ, Candidate (16-21 y/o) Attend Totus Tuus Attend Parish School of Religion (PSR) Participate in Faith Formation Groups Child #8Please select all the options in which you would like to serve. Attend Chosen High School Youth Group Attend SEC 7/8 grade Youth Group Attend Steubenville Youth Conference Attend Camp Tolton Attend a Quest (13-15 y/o) Attend Teens Encounter Christ, Candidate (16-21 y/o) Attend Totus Tuus Attend Parish School of Religion (PSR) Participate in Faith Formation Groups Pillar of ServiceAdult 1Please select all the options in which you would like to serve. Cemetery Committee Stewardship Council Pastoral Parish Council (PPC), any commission PPC, Social Concerns Commission PPC, Religious Education Commission PPC, Building & Grounds Commission PPC, Liturgy Commission Parish School Advisory Council Flowers for Mary Pro-Life Garage Sale, volunteer Knights of Columbus Ladies of Holy Rosary Maintenance, volunteer* Volunteer to Count Offertory Photographer for parish events Holy Rosary School Volunteer** HRS Parent/Teacher Organization (PTO) Prison Ministry Social Concerns Committee I am unsure where to serve, please contact me. Adult 2Please select all the options in which you would like to serve. Cemetery Committee Stewardship Council Pastoral Parish Council (PPC), any commission PPC, Social Concerns Commission PPC, Religious Education Commission PPC, Building & Grounds Commission PPC, Liturgy Commission Parish School Advisory Council Flowers for Mary Pro-Life Garage Sale, volunteer Knights of Columbus Ladies of Holy Rosary Maintenance, volunteer* Volunteer to Count Offertory Photographer for parish events Holy Rosary School Volunteer** HRS Parent/Teacher Organization (PTO) Prison Ministry Social Concerns Committee I am unsure where to serve, please contact me. Child #1Please select all the options in which you would like to serve. Stewardship Council Flowers for Mary Pro-Life Garage Sale, volunteer Ladies of Holy Rosary Maintenance, volunteer* Photographer for parish events Child #2Please select all the options in which you would like to serve. Stewardship Council Flowers for Mary Pro-Life Garage Sale, volunteer Ladies of Holy Rosary Maintenance, volunteer* Photographer for parish events Child #3Please select all the options in which you would like to serve. Stewardship Council Flowers for Mary Pro-Life Garage Sale, volunteer Ladies of Holy Rosary Maintenance, volunteer* Photographer for parish events Child #4Please select all the options in which you would like to serve. Stewardship Council Flowers for Mary Pro-Life Garage Sale, volunteer Ladies of Holy Rosary Maintenance, volunteer* Photographer for parish events Child #5Please select all the options in which you would like to serve. Stewardship Council Flowers for Mary Pro-Life Garage Sale, volunteer Ladies of Holy Rosary Maintenance, volunteer* Photographer for parish events Child #6Please select all the options in which you would like to serve. Stewardship Council Flowers for Mary Pro-Life Garage Sale, volunteer Ladies of Holy Rosary Maintenance, volunteer* Photographer for parish events Child #7Please select all the options in which you would like to serve. Stewardship Council Flowers for Mary Pro-Life Garage Sale, volunteer Ladies of Holy Rosary Maintenance, volunteer* Photographer for parish events Chld #8Please select all the options in which you would like to serve. Stewardship Council Flowers for Mary Pro-Life Garage Sale, volunteer Ladies of Holy Rosary Maintenance, volunteer* Photographer for parish events Other Talents to Share with the Parish^If you chose Musician - What instrument(s) do you play?Please include the name of the musician.*If you chose Maintenance - What services can you volunteer? (i.e. General Maintenance, HVAC, Plumbing, Electrical, etc.)Please include the name of the person and the services they can provide.**Adult #1 If you chose Holy Rosary School VolunteerWe need volunteers in these specific areas: Read to children during Library Help prepare/serve lunch Sustitute Teacher Maintenance **Adult #2 If you chose Holy Rosary School VolunteerWe need volunteers in these specific areas: Read to children during Library Help prepare/serve lunch Sustitute Teacher Maintenance Do you have other talents and gifts not listed above? Please list them below. List the Family Member Name followed by the talent/gift or ministry to share with your parish family.
