Koinonia and Logos Ministries
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Group With a Leader
Name
*
First
Last
Email
*
Academic major(s)
*
Cell Phone Number
*
Campus Mailbox Number
*
Housing (Dorm & Room Number)
*
Academic Year
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First Year
Sophomore
Junior
Senior
Group leader's name, email address and phone number.
*
List up to ten names and email 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?
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Yes
No
If yes, please list characteristics or preferences of people to be placed in your group.
*
Group type (check all that apply)
*
Bible study
Book study
Service group
Prayer group
Special interest group/other
If you selected "special interest", please explain below.
*
Additional comments
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