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Koinonia (from koinos: a sharer, associate, companion, partaker, partner)
-partnership, participation, communion, friendship, fellowship

Name:
Email Address:
Major(s):
Cell Phone Number:
Room Extension Number:
Campus Mailbox Number:
Housing (Dorm & Room Number):
Year:	First Year Sophomore Junior Senior
List up to ten names and addresses of people in your group. Groups must be all-male or all-female. Include yourself.
If you have less than ten people, would you like Koinonia to place additional people with you to form a larger group?	Yes No
If yes, please list characteristics or preferences of people to be placed with your group.
Group type: (check all that may apply)	Bible study Book study Service group Prayer group Special interest group/other
If you selected "special interest", please explain below.
Please select a mentorship option.	We already have a mentor for our group. We would like to have a mentor assigned to our group.
If you already have a mentor, please list his/her name, email address and phone number below. (Male groups must have male mentors, female groups must have female mentors, and all mentors must be older than college students.) If you would like to have a mentor assigned to your group, please list all preferences for a mentor (if any) below.
Additional comments.

form mail

"For God did not give us a spirit of fear, but a spirit of power, of love, and of self-discipline."
- 2nd Timothy 1:7