Work Order Request - Community Harvest Church
Leadership Inquiry
First Name
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Last Name
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E-mail
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Phone
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Location
Community Harvest Church
Service Category
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Forms
Priority
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Highest Priority - Need ASAP
Medium Priority - Earliest Convenience
Low Priority - When Possible
Work Description
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Requested Completion Date
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Attachments
Comments
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Real Person Verification
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180 Cafe Usage Request
The 180 Cafe in the Chad Miller Annex is available for rental to members and/or regular attenders of CHC. This request submission does NOT secure the date requested. It simply sends a request to Erica Caudill for review & follow up.
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Phone Number
Can you receive text messages?
PLEASE NOTE: Choosing yes does NOT subscribe you to recurring text messages from CHC.
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How would you classify your CHC member status?
I'm a member of CHC!
I'm not an official member, but I'm a regular attender of CHC!
I don't regularly attend CHC but I know someone who does.
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For what purpose are you requesting usage of the 180 Cafe?
For a Recognized Ministry of CHC
For a Personal Celebration - Birthday Party, Grad Party, Baby Shower, etc.
For Non-CHC Related Personal Use - OTHER
If you chose Non-CHC Related Personal Use - Other, please describe the request reason in detail.
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For which date are you requesting to reserve the 180 Cafe?
Submissions will be reviewed and responded to within 1-3 business days unless marked with the highest priority.
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Announcement Request
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Phone Number
Are you able to receive text messages?
PLEASE NOTE: Choosing yes does NOT subscribe you to recurring text messages from CHC.
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Ministry Hosting Event (Ex: The Bridge, Men's Ministry, etc.)
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Date of Event
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Announcement Details - Include as many details as possible.
Announcement type is determined by the Communication Director. Type will be assigned according to event & date. The goal of our announcement is to best serve each ministry and set it up for success.
If you have questions, please contact Naomi Mullins or Erica Caudill.
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Appointment Request
This form will be submitted to the Director of Administration only. Appointment requests will be addressed within 1-2 business days unless request is marked with highest priority.
Can you receive text messages?
PLEASE NOTE: Choosing yes does NOT subscribe you to recurring text messages from CHC.
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With whom would you like to request a meeting?
Pastor Duane Harney
Brandon Miller, Youth Pastor
Allen Miller, Ministry Operations Pastor
Erica Caudill, Director of Administration
Other CHC Leader
If you chose Other CHC Leader, please provide their name.
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Please provide a reason for the appointment request. If the reason is confidential, please type PRIVATE.
If you'd like to request a meeting, but you're not sure with whom, please explain the reason for the request below.
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Contact Info Update
Contact updates are sent to the Director of Administration to correct contact records in our database. This information is used for ministry purposes only.
Can you receive text messages?
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How would you classify your CHC member status?
I'm a member of CHC!
I'm not an official member, but I regularly attend CHC!
I've visited a few times and I plan to keep coming!
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What information needs updated? Please check all that apply.
First/Last Name
Phone Number
Email Address
Home Address
Other Personal Information
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Please provide the current information to be corrected. Provide as much detail needed to update the record.
Requests will be reviewed and responded to within 1-3 business days.
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Funeral Meal Request
We are honored to provide meal support for CHC members in their time of need. This service of the Care Ministry is limited to CHC members & regular attenders. Please contact Allen Miller with questions.
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Name of CHC Member
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Phone Number of CHC Member
Does this number receive text messages?
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Food Delivery Location & Address
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Are there any dietary restrictions or preferences?
No - Thanks for asking!
Yes - Gluten Free Meal w/Safe Prep
Yes - Vegetarian Meal
Yes - Details provided below
Additional information regarding dietary restrictions or preferences.
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Funeral Date
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Time Requested
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Funeral Officiation Request
We have a team of ordained ministers who are available to officiate funerals upon request. Please contact Allen Miller with questions.
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Name of Main Family Contact
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Phone Number of Main Family Contact
Does this number receive text messages?
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Name of the Deceased
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Was the deceased a CHC Member?
Yes!
Not an official member but a regular attender!
No - but my family member/friend is!
No - I have no affiliation with CHC.
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Date of Funeral Service (if set at time of request)
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Name & Address of Funeral Home
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Requested date to meet with CHC Minister.
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LEADERSHIP INQUIRY
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Phone Number
Associated Ministry (Ex: The Bridge, Men's Ministry, etc.)
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DATE of Requested Inquiry
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TIME of Requested Inquiry
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Inquiry Category (check all that apply)
Proposed Master Calendar Addition
Proposed Church-Wide Event
Proposed Individual Ministry Task/Event
Proposed Outreach Opportunity
Facility Usage Request
HVAC Request
Reimbursement Request
*REIMBURSEMENT REQUESTS: proof of purchase can be attached upon saving this form.
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ANNOUNCEMENTS/MARKETING: Does this inquiry require an announcement or marketing campaign?
YES - Please use provided details for marketing.
NO - N/A
*NOTE: Announcements are created in accordance with our communication guidelines.
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Provide Inquiry Details
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LOCATION of Inquiry
180 Cafe and/or Shelter
Santuary (Services ONLY - No food, drink, or chair removal)
Atrium (Lobby of Church)
CHC Classroom (provide room number in description)
Offsite Location (Add details in Description)
N/A
CHC Facility Actions Requested (Check all that apply)
Doors Unlocked
Tables/Chairs Setup
Atrium Furniture Removal or Rearranged
Physical Signage Created (Communications Director Task)
HVAC Adjustment
CHC Service Teams Requested (Check all that apply)
Media Presentation Team (Slides)
Audio/Visual Team (Sound/Photography/Videography)
Worship Team
Security Team (Required for Church Wide Events)
FOOD/DRINKS: What is your proposal for this task/event? (NOTE: requests are subject to approval)
A CHC provided meal
CHC provided light refreshments
Food/drinks available for purchase (i.e. food truck)
This task/event will not include food/drinks.
Expected Attendance (if applicable)
Less than 50
50-100
100-200
200+
SUPPLY ORDERS: How will supplies be ordered, if necessary?
Self Purchase - Need Reimbursement
Sending Order to Director of Administration for Purchase
Supplies Requested (Be as detailed as possible)
If additional information needs submitted or you have questions regarding your request, please contact Erica Caudill.
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MAINTENANCE | HVAC INQUIRY
Please be as detailed as possible when explaining your maintenance inquiry. Requests are reviewed and completed appropriately by the Maintenance Team Lead.
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Phone Number
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Inquiry Category
HVAC Adjustment
Plumbing
Electrical
Facility Grounds (i.e. parking lot, etc.)
Misc. Repair (i.e. ceiling tile replacement, etc.)
OTHER - Provide details below.
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Please explain inquiry. NOTE: pictures can be attached upon saving this form.
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Reimbursement Request
Reimbursement requests are submitted to the Director of Administration for approval. Submission of the request does NOT guarantee approval. Each request is thoroughly reviewed.
Can you receive text messages?
PLEASE NOTE: Choosing yes does NOT subscribe you to recurring text messages from CHC.
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What did you purchase? Please briefly describe.
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This purchase benefits which ministry or service area?
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What is the name of your direct leader?
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Did you get pre-approval from your ministry leader before making the purchase?
Yes!
No
If no, please explain.
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Do you have receipts or proof of purchase?
Yes!
No
If no, please explain.
Requests will be reviewed and responded to within 1-3 business days.
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Supply Order Request
This is for ministry personnel to submit supply requests to the Director of Administration. Requests will be reviewed and responded to within 1-3 business days.
Can you receive texts?
PLEASE NOTE: Choosing yes does NOT subscribe you to recurring text messages from CHC.
Email Address
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Ministry or Service Area
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Did you discuss the supply request with your ministry leader prior to requesting?
Yes - I received the go ahead!
No - but I've requested it a million times so it's all good.
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Please list the supplies needed. Provide as much detail as possible. (Type, quantity, specifics needed for ordering, etc.)
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Is there a specific date the request needs to be completed?
If yes, please provide the requested completion date.