LIFE Group Leader Application

Thank you for your interest in leading a Living group.  Please read all the information about Living groups on our website and  fill out the following form completely.


Required fields marked with an asterix (*)
First Name: *
Last Name: *
Address: *
Phone Number: *
Email Address:
Name of Proposed Life Group: *
Type of Group: *
Description of Group: *
LIFE Group will meet: *
Start Date:
Meeting Day of Week:
Time:
Meeting Location:
Will you provide childcare?
Requirements for Participants:
Do you give permission for CCC to post your contact info on the website so that potential LIFE group members can contact you?