Event Request Event Contact Name(Required) First Last Email(Required) Enter Email Confirm Email Date of Event(Required) Event Start Time(Required) Hours : Minutes AMPM AM/PM Event End Time(Required) Hours : Minutes AMPM AM/PM Event Location(Required) Does this Event need to be added to the Ark Website? Yes No Maybe Please provide a "Marketing" style description below:(Required)Expected Total Attendance (estimate is okay)Total Number of Volunteers NeededVolunteer Roles Needed – list any skills you preferCook, admin, music…. consider setup, tear down, clean up, etc… Time Hours : Minutes AMPM AM/PM Will Food Be Needed Yes No Click this link for the form. https://arkofhighlandlakes.org/hospitality-request/ Is Setup Needed? Yes No Please Select All Setup Needs Tables Chairs Audio/PA/microphone Projector Signage Decor Other If Other – Please list here Setup Start Time Hours : Minutes AMPM AM/PM Is Tear Down/Clean Up needed? Yes No Budget (if applicable) Submitter's Name – IF DIFFERENT FROM EVENT CONTACT First Last Submit

Hospitality Meal Request Step 1 of 4 25% Let’s Start with You Tell us who you are and which ministry this request is for. Name(Required) First Last Which ministry/program are you requesting on behalf of?(Required)ARK Meeting (Orientation/Workshop/Workday)ARK Board MeetingARK Special EventAgape Community Dental ClinicThe WarehouseFoster Care Task ForceDisaster Response TeamTransformational LivingHunger AllianceOtherIf Other (please tell us)Phone Number(Required)Email Address(Required) This field is hidden when viewing the formDate Submitted Tell Us About the Event When is it, and why are you requesting this meal? Group Contact Name (you or someone else)(Required) First Last Group Contact Phone(Required)What is the name of the event or group?(Required)Event Date(Required) When do you need the meal? (Time on Meal Date)(Required) Hours : Minutes AMPM AM/PM Please give at least 2 weeks advance notice for best availability What is the purpose of this meal?(Required) Bible Study Meeting Disaster Response Team Training/Event Individual Family Support / Meal Train Volunteer Appreciation Sponsored/Special Event Other Please specify Is this a one-time or recurring event?(Required) One-Time Recurring How often will this meal be needed?(Required)Select frequencyWeeklyBi-WeeklyMonthlyCustom (please specify in Additional Details)Additional Details (if custom frequecny)(Required)Until what date should this recurring meal continue?(Required) Next Save & Continue Where and How? Tell us about the location and how the meal should be delivered. Location Name(Required) Location Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code What type of location is this?(Required)Select location typeHomeChurchOfficeDisaster WorksiteCommunity CenterOther How should the meal be delivered/served?(Required) Delivery & Pickup (Ark provides food and returns to pick up containers) Delivery Only (Ark delivers; you handle cleanup/return) Serve Onsite (Ark team sets up and serves) Pick Up Only (You pick up from Ark location) Contact

Internal Request Date Time:Staff Member (First & Last Name): Contact Type: Phone Call Walk-up Other Other Details: CLIENT INFORMATION Full Name(Required) First Last Date of Birth Age Gender Male Female Primary Phone(Required)Email Address Preferred Method of ContactPhone CallTextEmailMay we leave a message / text?YesNo CONNECTION TO THE ARK & SCHEDULING PRIORITY Check the highest-priority category that applies. Use this to guide scheduling order. CONNECTION TO THE ARK & SCHEDULING PRIORITY Currently in the Transformational Living program (highest priority — counseling is free) Currently participating in another Ark program Employee or key volunteer of The Ark Walk-up / community member specifically seeking counseling Other / unsure: Other/unsure Details: INITIAL TRIAGE — CRISIS OR PRAYER SUPPORT? Ask gently: “Is what you’re facing currently interrupting or derailing your daily life, or are you mainly looking for prayer and encouragement right now?” INITIAL TRIAGE — CRISIS OR PRAYER SUPPORT? Crisis / life-disrupting — needs counseling (lives significantly interrupted, family falling apart, major loss, etc.) Primarily needs prayer, encouragement, or spiritual support — refer to Prayer Team Unsure Unsure — note details below for Clinical Director review GENERAL NATURE OF CONCERN (No deep details needed) Record only a brief, general description in the caller’s own words. Examples: “Loss of a spouse,” “Marriage is struggling,” “Family is falling apart,” “Overwhelmed by anxiety,” “Need help after a major life change.”GENERAL NATURE OF CONCERN FEE & APS INFORMATION SHARED WITH CALLER Receptionist should communicate the following clearly: • Transformational Living clients: counseling is provided at no charge. • All others: sliding-scale fee based on income status (details provided at intake). • Recommended donation of $30 to cover the Arno Profile System (APS) temperament report. Information explained to caller?