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Timothy Treasures

Special Needs Ministry Questionnaire

Timothy Baptist Church is prayerfully creating Timothy Treasures, a ministry that supports children and youth with special needs and their families. This form helps us understand family needs, gather feedback from the congregation, and identify volunteers who would like to serve.

Parent/Guardian Name:

Parent/Guardian Phone Number

Parent/Guardian Email Address

Age(s) of Child/Children

Do you have a child or youth with special needs?

Yes No N/A

If yes, please share the area(s) of need (check all that apply):

Autism spectrum ADHD/Attention difficulties Developmental delay Physical disability Sensory needs Medical needs Learning differences N/A Other:

If you selected 'Other' please specify here:

What challenges has your child experienced when participating in church activities? (check all that apply)

Children’s church/youth services not accessible Lack of trained volunteers Sensory overload (noise, lights, crowds) Communication difficulties Limited understanding from peers N/A Other:

If you selected 'Other' please specify here:

What supports would be most helpful for your child(ren)?

Small group option with fewer children Quiet/sensory room Modified curriculum/teaching materials Trained volunteers familiar with special needs N/A Other:

If you selected 'Other' please specify here:

What support would help you as a parent/guardian?

Parent support groups Parenting workshops Prayer and counseling support Respite care (short breaks during church or events) Resources/referrals (community programs, therapy, etc.) N/A Other:

If you selected 'Other' please specify here:

How important do you feel it is for Timothy Baptist Church to have Timothy Treasures for children and youth with special needs?

Very important Important Somewhat important Not important N/A

Do you have someone you’d like to invite to church (friend, co-worker, neighbor) who would not be able to attend unless there were supports for their child/youth?

Yes No N/A

If yes, please describe (optional):

Please share any suggestions, concerns, or hopes for Timothy Treasures:

Would you be interested in volunteering with Timothy Treasures?

Yes No Maybe N/A

If you selected 'Maybe,' please elaborate:

Volunteer Name:

Volunteer Phone Number

Volunteer Email Address

Best contact method:

Phone Email Text

I am interested in serving through (check all that apply):

Buddy system (supporting a child/youth one-on-one) Helping in the sensory/quiet room Assisting in children’s church/youth programs Leading/assisting with parent support groups Administrative support (planning, organizing, communication) Event support (set-up, food, logistics) Training/teaching volunteers Prayer team for families and children N/A Other:

If you selected 'Other,' please elaborate:

Availability:

Sunday morning Sunday evening Weeknight (Mon–Fri) Saturday Flexible N/A

Do you have prior experience working with children/youth with special needs?

Yes No, but I’m willing to learn and receive training N/A

If you selected 'Yes,' please describe:

Christ Centered, People Focused

Timothy Baptist Church
380 Timothy Rd. Athens, GA 30606
(706) 549-1435

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