Connect Group Application
Email address *
Host Full Name *
Your answer
Host Email *
Your answer
Host Leader Phone Number *
Your answer
Co-Host Name
Your answer
Co-Host Email
Your answer
Have you completed our Next Steps process? *
Group Name *
Your answer
Group Meets On... *
Required
Group Start Time? *
Time
:
Meeting Address
Please include complete address-including zip code.
*
Your answer
Meeting Place
ex: The Williams Residence
*
Your answer
Group Description
1-5 sentences that captures the vision of the group.
*
Your answer
Group Requirements
Your answer
Will childcare be provided? *
Age range of group? *
Required
Group Category *
Required
Curriculum Title (if applicable)
Your answer
Curriculum Author (if applicable)
Your answer
Comments or questions?
Your answer
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