Micro Group Placement Form

Your name *

Last name

Email address *

Address *

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

MobileHomeWorkOther

Marital status *

Select…SingleMarriedWidowedOther

Birthdate *

In what city do you work? *

On a scale of 1-10, where do you feel like you are in your spiritual maturity at this moment?

What are your spiritual strengths?

What are your spiritual weaknesses?

Do you consider yourself talkative or quiet? Or somewhere in-between?

Do you have a desire for a multi-generational micro group or a group with men in your age group?

Do you have any other men you are hoping to be in a group with? Please list their names if so.

Please list 3 possible times you can meet others consistently: *

Are you prepared to sign the Micro Group Covenant? *

Yes

No

Submit

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