DISCERNMENT FORM
FOR THOSE WHO ARE CONSIDERING MEMBERSHIP IN
THE ELDERSPIRIT COMMUNITY PROGRAM
Name_______________________________________________ Date of Birth___________________
Address___________________________________________________________________________
Telephone____________________________Email_________________________________________
At this time, are you more interested in buying, renting, or living off site at ElderSpirit?____________
ElderSpirit is a tobacco and firearm free community. Are you willing to abide by that rule? _________
Membership in the ElderSpirit Community Program is a product of mutual discernment by both you and the Membership Committee. We consider this decision to be life changing. Below are a few questions that might help you, and us, in considering this decision.
- After reading our documents, what aspects of the ElderSpirit Community do you consider most important?
2. What life experiences or relationships in your life have provided fulfillment as an expression of community or shared group activity?
3. How have you been involved as either a volunteer or leader in your current community or communities? (Note that community might mean your educational community, religious or spiritual community, neighborhood, or groups.)
4. What talents or skills do you have to offer our community?
5. The Membership Tab of our website has a Participation section. How do you imagine yourself becoming involved in our community, considering the many opportunities on our website’s Partial List of Ways You Can Participate?
6. What will you be losing by moving to Abingdon?
7. ElderSpirit is an independent living community. What plans do you have when you can no longer live independently? Have you discussed these plans with family or someone else who you trust?
8. Would you like to receive a copy of the ElderSpirit weekly Bulletin, a member-produced, emailed newsletter used by members to announce events and activities and to share information relevant to the community?
No _______ Yes: ________, send to (your email address): _______________________________
Signature_____________________________________________________________________.
Today’s date __________________________________
Please email this completed document to elderspiritmembership@gmail.com
or place the completed form in the “Membership Committee” “cubby” in the Common House.
or mail it to ElderSpirit Membership Committee, 125 ElderSpirit Court, Abingdon, VA 24210.