Group Placement Request Form
We look forward to helping find the right Group for you! Please fill out the information below and you will be added to the next Group Launch coming this January.
Preferred method of contact
Help Us Find the Right Group For You
What type of group are you looking for
co-ed (single or married and either gender)
Which day(s) best fit your schedule? (select all that apply)
What time(s) of day best fit your schedule (select all that apply)
Do you have children?
If so, please list their names, gender and age below.
What is the most important thing to you when selecting a small group
close to me (location)
similar stage of life
people my age
Would you be interested in leading a group or being a part of the Apprentice Program to learn how to lead a group?
Yes, I am interested in leading a group. Tell me more.
Yes, I am interested in learning how to lead a group. I would like to learn about the Apprentice Program.
Not at this time.
Have you been in a group before?
Are you signing up with someone else? Please list their name(s) below.
FOR PLACEMENT PURPOSES ONLY. Each individual needs to complete their own separate form.
Do Not Fill This Out