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Connect Group Facilitator/Teacher
Connect Group Facilitator for Summer 2019.
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Sign up to be a Connect Group Facilitator or Spiritual Development Teacher
Name
*
Your answer
I would like to be:
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Facilitator
Host Home
Facilitator and Host Home
Other:
Type of Group: Choose One
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Conversation
Classroom
Credential
Email
*
Your answer
Phone number
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Your answer
Co-Facilitator Name
Your answer
Co-Facilitator Email
Your answer
Connect Group Location (give place name and address)
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Your answer
Name of Connect Group
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Your answer
Connect Group Catagory
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Home and family
Spiritual development
Special interest (recreation, hobbies, specific demographic)
Dinner group
Other:
Is your group for: (choose one)
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Men
Women
Men & Women
Youth
Description of the topic you will be studying (please give 2 sentence description to be used in Connect Group brochure)
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Your answer
Study Information (Book title and author)
Your answer
Day and time (day / start time and end time)
*
Your answer
Is your group providing childcare?
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Yes
No
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