~ Online Sign-up:
Individual Membership ~

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

Name:
Email Address:
Major:
Cell Phone Number:
Room Extension Number:
Campus Mailbox Number:
Housing (Dorm & Room Number):
Year:	First Year Sophomore Junior Senior
List up to five names and email addresses of people with whom you would like to be grouped (groups must be all-male or all-female). Include yourself.
What kind of group would you prefer?	All first-year students All sophomore students All junior students All senior students Mixed class levels
If you have a specific leader(s) you would like to request, list the name(s) here.
If you do not have a specific leader you would like to request, please list any preferences regarding the leader we place with your group.
Group Types (check all that interest you)	Bible study Book study Prayer group Service group Special interest group/other
If you selected "Special Interest Group", please explain:
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.

"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