Small Group Interest Form
Please know that all information provided in this form is only used by the ministry in order to understand your interest in participating in a small group, and if desired, placement in a group aligned with your availability.
The information gathered will be shared with The Evangelical Catholic for the sole purpose of data collection and will not be used by them.
* Required
First Name
*
Your answer
Last Name
*
Your answer
Gender
Male
Female
Clear selection
Cell Phone
*
ex: 222-222-2222
Your answer
Email
*
Your answer
Please provide your age.
College Student - 1st Year
College Student - 2nd Year
College Student - 3rd Year
College Student - 4th Year +
College Graduate Student
Other
Unknown
Clear selection
Optional Questions
I'm interested in joining a small group, but I'm not available at this time.
Yes
Is it important to you to be in a group with others of similar age?
Yes
No
Preferably, but not imperative
Clear selection
Do you have a preference to be in a single sex group?
Yes
No
Preferably, but not imperative
Clear selection
Your availability...
Morning
Afternoon
Evening
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
Morning
Afternoon
Evening
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
Other comments?
Your answer
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