NEW - Agape Application

Please fill out application as completely as possible - some fields are required. In the past, working Agape has been a bit of an ‘informal’ invitation. In order to help our the leaders (and cooks - who are after all, most important), we’re requesting you to complete an Agape application. However, if you don’t get it done, don’t let that stop you from coming to work - many hands are needed. PLUS, you’ll have so much fun - and be so blessed!

Suggested Costs: Cost to serve the weekend as Agape is a suggested donation of $60/full event or $20/day. This helps cover the cost of meals that you will eat while working. Remember, this is a suggested donation. If you are unable to make a donation, don’t let that stop you from coming to help! Some pay more; some pay less. God works out the details! 2 Corinthians 8:3

Online Payment: You may pay by clicking on the ‘Donate/Pay for Event’ button above. Complete and submit form.

Pay at the Event: Pay the Registrar at the Registration table if you arrive during registration or you can give your money to the Agape director or Agape computer person when you arrive. Checks payable to: Iowa Walk to Emmaus.

*NOTE: If you are working Chrysalis, you are required to submit a background check and Mandatory Abuse Reporting Form. Please click on ‘Download Required Chrysalis Forms’ button below and follow instructions.

We can’t wait to serve with you!

I can't wait to come and serve on Agape! I'm signing up to work at the next

Women's Emmaus

Men's Emmaus

Face to Face Encounter

Chrysalis Flight

I'm planning to attend these dates at this location. (You're encouraged to work the full event if you can but not required. We'd just love to have you there!)

Your Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone

(###)

###

####

Other Phone

(###)

###

####

Email

Name You Wish to Go By (if different than above)

Name of Church you Attend

Denomination

Pastor's Name

What religious or community activities are you active in?

When did you attend Emmaus, Face to Face or Chrysalis? If you are unsure, give approximate info:

Emergency Contact (Other than your sponsor)

Relationship

Do you have any health problems or physical handicaps that may affect your attendance at this event?

Authorization - I acknowledge the information provided is true to the best of my ability. I understand it will be kept private and confidential and will be used to make sure I have the best experience possible.

Yes I agree

Note to Agape Director about a specific job you'd like or other info you think is important

Pay for Event

Chrysalis Required Forms

In order to ensure everyone is safe during a Chrysalis weekend, anyone over the age of 18 (workers and attendees) is required to complete and submit the following:

The Iowa Walk To Emmaus Safety Policy Form - you are consenting to allow the Emmaus Registrar to complete a background check with the Iowa Sex Offender Registry and Child Abuse Registry
Mandatory Abuse Reporting Form - This form is required prior to being accepted for or participating in a Chrysalis Flight. Each background check will be valid for 3 years unless the Emmaus Registrar requests a more frequent recheck.

Please click on the button below, print, complete and return the form to: iowachrysalis@gmail.com

Download Required Chrysalis Forms