Small Group Leader Interest

Your name *

Last name

Email address *

Phone number

Phone type

MobileHomeWorkOther

Address

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

How long have you attended CCC? *

Are you a CCC Member? *

Yes

No

I am interested in leading or co-leading a small group *

I am interested in leading

I am interested in co-leading

What type of group are you interested in creating? *

Think age, gender, marital status, life stage, etc

Please briefly share why you'd like to lead a small group. *

Thank you!

Submit

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