St. Stephen Time and Talent Survey Discover and select ways you can share your time and talents with your parish family. CommentsThis field is for validation purposes and should be left unchanged.General Information* indicates required informationToday's DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920How 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.--please select from the following--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 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 #*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 Child #1Child #1 Name First Middle Last Child #1 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female What school does this child attend and what grade are they in?What Sacraments has your child received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child #2Child #2 Name First Middle Last Child #2 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female What school does this child attend and what grade are they in?What Sacraments has your child received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child #3Child #3 Name First Middle Last Child #3 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female What school does this child attend and what grade are they in?What Sacraments has your child received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child #4Child #4 Name First Middle Last Child #4 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female What school does this child attend and what grade are they in?What Sacraments has your child received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child #5Child #5 Name First Middle Last Child #5 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female What school does this child attend and what grade are they in?What Sacraments has your child received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child #6Child #6 Name First Middle Last Child #6 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female What school does this child attend and what grade are they in?What Sacraments has your child received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child #7Child #7 Name First Middle Last Child #7 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Femaile What school does this child attend and what grade are they in?What Sacraments has your child received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Child #8Child #8 Name First Middle Last Child #8 BirthdateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender Male Female What school does this child attend and what grade are they in?What Sacraments has your child received?Please check all that apply. Baptism Reconciliation Eucharist Confirmation Has not received Sacraments yet Pillar of HospitalityAdult 1Please select all the options in which you would like to serve. Church Greeter Church Usher Help with Funeral Dinners Help with Lucky Hearts Banquet Youth Ministry Loaves and Fishes (provide food for youth events) Swinkey Picnic Coordinator I am unsure where to serve, please contact me. Adult 2Please select all the options in which you would like to serve. Church Greeter Church Usher Help with Funeral Dinners Help with Lucky Hearts Banquet Youth Ministry Loaves and Fishes (provide food for youth events) Swinkey Picnic Coordinator I am unsure where to serve, please contact me. Pillar of PrayerAdult 1Please select all the options in which you would like to serve. Adoration Chapel Committee Eucharistic Adoration Extraordinary Minister of Holy Communion Lector Cross Bearer Music Ministry, Musician ^ Music Ministry, Cantor/Songleader Music Ministry, Choir Offertory Gift Bearer Sacristan Rosary Leader before Mass Join a Prayer Group Receive Flocknote Prayer Request Messages Seasonal Church Decorating Liturgy Committee 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 Extraordinary Minister of Holy Communion Lector Cross Bearer Music Ministry, Musician ^ Music Ministry, Cantor/Songleader Music Ministry, Choir Offertory Gift Bearer Sacristan Rosary Leader before Mass Join a Prayer Group Receive Flocknote Prayer Request Messages Seasonal Church Decorating Liturgy Committee 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, Musician ^ Music Ministry, Cantor/Songleader Music Ministry, Choir Offertory Gift Bearer Rosary Leader before Mass Join a Prayer Group (7th-12th grade) Receive Flocknote Prayer Request Messages 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, Musician ^ Music Ministry, Cantor/Songleader Music Ministry, Choir Offertory Gift Bearer Rosary Leader before Mass Join a Prayer Group (7th-12th grade) Receive Flocknote Prayer Request Messages 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, Musician ^ Music Ministry, Cantor/Songleader Music Ministry, Choir Offertory Gift Bearer Rosary Leader before Mass Join a Prayer Group (7th-12th grade) Receive Flocknote Prayer Request Messages 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, Musician ^ Music Ministry, Cantor/Songleader Music Ministry, Choir Offertory Gift Bearer Rosary Leader before Mass Join a Prayer Group (7th-12th grade) Receive Flocknote Prayer Request Messages 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, Musician ^ Music Ministry, Cantor/Songleader Music Ministry, Choir Offertory Gift Bearer Rosary Leader before Mass Join a Prayer Group (7th-12th grade) Receive Flocknote Prayer Request Messages 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, Musician ^ Music Ministry, Cantor/Songleader Music Ministry, Choir Offertory Gift Bearer Rosary Leader before Mass Join a Prayer Group (7th-12th grade) Receive Flocknote Prayer Request Messages 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, Musician ^ Music Ministry, Cantor/Songleader Music Ministry, Choir Offertory Gift Bearer Rosary Leader before Mass Join a Prayer Group (7th-12th grade) Receive Flocknote Prayer Request Messages 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, Musician ^ Music Ministry, Cantor/Songleader Music Ministry, Choir Offertory Gift Bearer Rosary Leader before Mass Join a Prayer Group (7th-12th grade) Receive Flocknote Prayer Request Messages Seasonal Church Decorating Pillar of FormationAdult 1Please select all the options in which you would like to serve. Attend a Cursillo (18+ y/o) Attend a Welcome Weekend (formerly CRHP) Participate in Faith Formation Groups Marriage Preparation Facilitators Rite of Christian Initiation for Adults (RCIA), Attend Learning Gatherings RCIA, Catechist/Teacher Religious Education Core Team Participate in Young Adult Ministry (18-35 y/o) Attend Teens Encounter Christ, Observer (22+ y/o) I am unsure where to serve, please contact me. Adult 2Please select all the options in which you would like to serve. Attend a Cursillo (18+ y/o) Attend a Welcome Weekend (formerly CRHP) Participate in Faith Formation Groups Marriage Preparation Facilitators Rite of Christian Initiation for Adults (RCIA), Attend Learning Gatherings RCIA, Catechist/Teacher Religious Education Core Team Participate in Young Adult Ministry (18-35 y/o) Attend Teens Encounter Christ, Observer (22+ y/o) I am unsure where to serve, please contact me. Adult 1I would like to be a Youth Ministry Volunteer with the following groups. This could involve being a leader, catechist, chaperone, etc. We will contact you to find out in what manner you would like to volunteer! Swinkey Days for Kids CHOSEN High School Youth Group SEC 7/8 Grade Youth Group PSR (Parish School of Religion) Totus Tuus Camp Tolton Steubenville Youth Conference Adult 2I would like to be a Youth Ministry Volunteer with the following groups. This could involve being a leader, catechist, chaperone, etc. We will contact you to find out in what manner you would like to volunteer! Swinkey Days for Kids CHOSEN High School Youth Group SEC 7/8 Grade Youth Group PSR (Parish School of Religion) Totus Tuus Camp Tolton Steubenville Youth Conference 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 Holy Rosary School Advisory Council Provide Flowers for the Statue of Mary Help at the Pro-Life Garage Sale Join Knights of Columbus St. Stephen Altar Society Maintenance Committee Maintenance Volunteer * Count Offertory Collection after Mass Provide photography for parish events Library Reader at HRS Help in the HRS Cafeteria Help with Maintenance at HRS Subsitute Teacher at HRS Prison Ministry 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 Holy Rosary School Advisory Council Provide Flowers for the Statue of Mary Help at the Pro-Life Garage Sale Join Knights of Columbus St. Stephen Altar Society Maintenance Committee Maintenance Volunteer * Count Offertory Collection after Mass Provide photography for parish events Library Reader at HRS Help in the HRS Cafeteria Help with Maintenance at HRS Substitute Teacher at HRS Prison Ministry I am unsure where to serve, please contact me. 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.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.
