Life Group Interest Form
First Name
Last Name
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
Email
Phone Number
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Birthdate
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Children (if applicable) : Please put their names and ages
Are you currently in a Life Group at Evergreen?
Yes
No
Are you currently in a Sunday School?
Yes
No
Is this your first time to join a Life Group?
Yes
No
No, but not at Evergreen
What are the best nights for you to meet? Check all that apply.
Sunday
Monday
Tuesday
Thursday
Friday
Saturday
What type of group would you be most interested in joining. Check all that apply.
Age and stage
Geographical proximity
Multi-generational
Specific time
No preference
We hold an event called GroupLink at the beginning of every other month during the school year. At this event we form new Life Groups for interested members.
When would you be interested in joining?
At the nearest GroupLink time, to join a newly formed group
Right now and I will join an already existing group
No preference
Comments / Special Considerations
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