ACS Connect Card / Information Update (South Atlantic Conference)

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Full Name * Required

Email * Required

Confirm Email * Required

Home Address * Required

Phone Number * Required

What State Is Your Church Located In * Required

Church Name * Required

Pastor's Name * Required

Which areas are you willing to serve? * Required

ACS Advisory Board

ACS Federation Board

ACS Federation Officer

Disaster Response Coordinator

Disaster Response Volunteer

None of the above

Other

What ACS Areas Are You Willing To Serve In?

If "Other" area selected, please explain

Services Offered By Your Church' Community Service * Required

NO SERVICES OFFERED CURRENTLY

Food Pantry

Clothing

Housing

Rent Assistance

Utility Assistance

Health Insurance Application

Aging Services

Resume Preparation

Employment Resources

Homework Assistance

Scholarship Assistance

Health Screenings

Financial Seminars

Reducing Recidivism Resources

Other (complete other services below)

Description of Other Services

Sunday - Hours of Operation * Required

Monday - Hours of Operation * Required

Tuesday - Hours of Operation * Required

Wednesday - Hours of Operation * Required

Thursday - Hours of Operation * Required

Friday - Hours of Operation * Required

Saturday - Hours of Operation * Required

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