[Organization Name]

Name *

Street Address *

City, State, Zip *

Email *

Primary Phone *

What groups or activities have you participated in at Fellowship? *

What group have you been a part of in the last year? *

Who can you think of that you could invite to be a part of your community group? *

How much time a week do you have available to shepherd or lead a group of people? *

When are you available to begin a group? *

Are you willing to be a part of a leader community during your first year of leadership? *