MBC Small Group Leader Application
Please fill out this form for every small group you'd like to lead at MBC.
If any information is not currently known, just enter "unknown".
Matt or Allison Clooten, or Dan or Robin McCarthy will be in touch with you.
If you need any help with this, contact matt@metrobelievers.com
Group Name *
Your answer
Leader's Name *
Your answer
Leader's Street Address *
number & street & appt number if any
Your answer
City *
Your answer
Zip Code *
Your answer
Leader's email *
Your answer
Leader's Phone Number *
Ex: 608.111.1234
Your answer
Co-Leader's Name
Your answer
Co-Leader's Email
Your answer
Co-Leader's Phone
Ex: 608.123.4567
Your answer
Day of the Week *
Ex: Monday, Every other Thursday, or 1st Monday of the month, or 2/1, 2/15 and 2/29
Your answer
Time (Start/End) *
Ex: H:MM-H:MM am/pm (eliminate the minutes if on the hour....ex: 7-9 pm)
Your answer
Location of small group *
Ex: Smith's Home (include address if not already provided)
Your answer
Start Date *
Ex: mm/dd/yyyy (or ongoing)
Your answer
End Date *
Ex: mm/dd/yyyy (or ongoing)
Your answer
What's required to be a part of this group? (ie. Books, Club Membership, Costs, Interests, etc.) *
Your answer
Detailed Description of the Group *
Your answer
Will child care be provided for participants? *
Please Select 1-2 categories to list your group under.
Submit
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