Small Group Information Form
Please complete this form to submit the information about the small group you would like to facilitate.  This will include the day, time frame, age, sex, and status of your Small Group. CAS and TG have some limitations. Please pay attention to the parenthetical information and instructions for each question and section.
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Facilitator Name *
Phone Number (please include area code) *
Facilitator Email Address *
Facilitator Model *
Required
Co-facilitator Information
If you are facilitating a group with someone, both of you need to complete an entire "Small Group Information Form".
If you have no co-facilitator please put "None" as an answer for each of the next three questions about co-facilitators.

Co-Facilitator Name(s) *
Co-Facilitator Email Address *
Co-Facilitator Phone Number (Please include area code) *
Year *
Type of Group *
Required
If this is a ministry-based small group, please identify the ministry. *
Please choose the option that best describes your group.
People Group *
Required
If this is an affinity group, please list the affinity. (nurses, teachers, bikers, etc) *
Age range for your Small Group *
Required
Day of the Week for your Small Group *
Required
Frequency of your meeting
Clear selection
Select the time frame for your Small Group. This should be a one hour timeframe.
Start Time *
Time
:
End Time *
Time
:
Gathering Method *
Required
Physical Gathering Location
Description of Physical gathering location (ex. My Home, room at the church, Larema Coffee Shop etc)
Street address
City (This is also required for those who are gathering electronically. What is your "base city" where your group will gather?) *
State
Zip code
Address Promotion Preference
Submit
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