Join an ICF Small Group
If you are a UTD Student 18 years or older, please provide your information below and someone will contact you about joining an ICF Small Group and other ICF activities. Most Small Groups meet Friday nights at 7:00 pm, but some groups also meet Saturday nights in the event you have Friday night classes. If the group has a pickup location on campus, a map showing that location will appear under their button on the Home Group web page http://utdicf.isisites.net/home-groups/
Last Name *
Family Name
Your answer
First Name *
Given Name
Your answer
Nickname
Name your friends call you if not your first name, English name
Your answer
Gender *
Male (man) / Female (woman)
Local Address *
Local Street Number, Street Name and Apartment number
Your answer
City *
Local Address City
Your answer
State *
Local Address State
Your answer
Zip Code *
Local Address Postal Code
Your answer
E-mail address *
Best e-mail address to reach you when in the US
Your answer
Phone Number *
Best phone number to reach you when in the US
Your answer
UTD Net ID *
Student ID number
Your answer
Major *
Major area of study at UTD
Your answer
Degree *
Year in School
What year in your program are you?
Your answer
Birthday *
Your Birthday in MM/DD format
MM
/
DD
Home Country *
What country do you consider home or originate from?
Your answer
I have a car. *
Do you have a car that you can drive and a license and insurance
Home Group Preference *
Other Comments
Ex. I would like to join a small group because... my dietary restrictions are..., my allergies are... I have a fear of animals. Give details.
Your answer
Language Spoken at Home
E.g. Mandarin, Malayalam, English, Japanese, etc. ,
Your answer
Other Lanugages Spoken
E.g. Cantonese, Spanish, English, etc.
Your answer
Religious Background
Ethnic group you are from
E.g. Han, Cantalonian, Mayan, Cherokee
Your answer
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