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Small-Group Interest Form
Please know that all information provided in this form is used only by the Newman Center to understand your interest in participating in a small group, and if desired, placement in a group aligned with your availability.
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First and Last Name
*
Your answer
Cell Phone Number
*
ex: 222-222-2222
Your answer
Gender:
Male
Female
Clear selection
Email Address
*
Your answer
Year in College
*
1st Year Freshman
2nd Year Sophomore
3rd Year Junior
4th Year Senior +
Graduate Student
Other:
Small Group Availability Time (1-1.5hr. meeting)
Monday at 7:00 PM
Tuesday at 5:15 PM
Wednesday at 5:00 PM
Thursday at 5:15 PM
Thursday at 7:00 PM
Friday at 4:00 PM
Major or interest of study:
Your answer
An interest or hobby of mine:
*
Your answer
Please leave any additional questions/comments about small group inquiry!
Your answer
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