The Well sign-up form
Your name *
Your answer
Your phone number *
Your answer
Your email address *
Your answer
Your campus address *
Write the name of your dorm or apartment, or write "commuter" if you commute from home.
Your answer
Your year in school *
What life group do you attend? If you're new to H2O, which one do you plan to attend? *
We want Well participants to be a part of our small groups!
Your favorite thing *
Be as creative or simple as you'd like.
Your answer
Your major *
Your answer
What areas of service interest you? *
Check all that apply.
Required
Optional: Would you like to request a 112 partner? If so, write their name below.
This is the upperclassman who will serve as your guide through the Well.
Your answer
Optional: What questions do you have?
Your answer
Submit
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