Request to Become a Small Group Leader

Your Name *

Your Email *

Name of Small Group *

Phone *

Address

Phone *

Please wright a brief description of what the small group is about: *

Desired size of your group:

Meeting location:

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Please type in the letters/number show above:

Book name and author to be used (if any):

Which semester would you like to start the small group?
The first week of:
 February June October

What day of the week would you like to meet? *

(Groups typically meat for 1 1/2 hours.)

Start time *:
 AM PM

End time *:
 AM PM

Groups typically run up to three months.
What date would you like your group to end? *

Do you have a Crosswinds Volunteer Application on file? *
 Yes No Not Sure

Do you have a Crosswinds Permission to Obtain Background Check on file?
 Yes No Not Sure

Questions?

Contact Chad Snyder, our Small Groups Director.
csnyder@crosswindsonline.org or 585-394-5857 x 102

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