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Groups Leader Form
Your name
*
Last name
Email address
*
Phone number
*
Phone type
Mobile
Home
Work
Other
Primary campus
*
Select…
Lake Stevens
Marysville
Gender
Select…
Male
Female
Marital Status
Select…
Married
Single
Divorced
Other
I am interested in leading the following types of groups:
Select all that apply.
Women
Men
Married Couples
Mixed Adults
55+
Other
I live in:
Select…
Lake Stevens
Marysville
Everett
Snohomish
Granite Falls
Other
Availability
Select all that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Time of Day
Select…
Morning
Evening
Either
Are you willing to commit to leading a sermon based discussion group?
Select…
Yes
No
Will you be able to host at your home, or will you need a location?
Select…
My home is available
Need a location
Additional comments and notes
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