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Leaders with a Group~

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
What will your campus involvements be next year, including work, clubs, activities, special research projects, etc.?
Why are you interested in becoming a Koinonia small group leader?
Briefly share your testimony and/or how God is working in your life.
Please list up to ten names and email addresses of the people in your group (groups are required to be all male or all female).
In the interest of keeping the Koinonia ministry a SMALL groups ministry, groups of more than ten people should generally only be existing groups/teams/organizations that want to do a larger “small group” Bible study (e.g., basketball team, dance group, etc.) If this describes your group, please list name of pre-organized group.
If you have listed less than ten people, are you interested in having Koinonia place you with additional students to form a larger group?	Yes No
If yes, please list any requests regarding what people we add to your group (e.g., class year, major, interests, type of small group preference, etc.).
Please select a group leadership option:	I will be leading the group by myself. I will co-lead the group with a person listed above. Various members will take turns leading the group.
Please list co-leaders here. If you do not wish to be the "contact person" or "head leader" for your group, please indicate the contact person here.
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.

"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