EmailMe Form - Fall Small Group Leader Interest

Your Name *

First Last

Your Email address *

Your Phone Number *

### - ### - ####

Are you a follower of Jesus? *

Yes

No

Have you attended a Revgroup? *

Yes

No

If so, what group did you attend/lead last? *

Do you have a co-leader for your Small Group? If so, who will they be? *

Title of Your Proposed Small Group *

Where will your small group meet? *

If meeting off site please include address and other relevant information in the additional information box at the bottom of this form.

Please place your top three days of the week you would like your small group to meet? *

Example: 1.Monday, 2. Wednesdays, 3. Saturdays

Will you need childcare for your group? *

Please be aware - childcare will only be available two to three evenings per week at the church. Days will be determined after final list of small groups are approved.

Will you need a TV or DVD player for your group? *

If you have any other AV or technology needs please indicate in the additional information box at the bottom of this form.

Please provide the curriculum or a brief summary of what you will cover in your group (You can also use the file upload feature in the next question to upload documents). *

File Upload: Please upload any graphics or logo that can be used to help promote your group and copies of any curriculum that you have.

Additional Information

Please include address of any off site groups, special technology needs, or any other relevant information.

T-Shirt Size *