Phone number *
Phone type Mobile Home Work Other
Gender
Select… Male Female
Marital status
Select… Single Married Widowed
Life Stage *
How would you best describe your stage of life? Where you would find people in a similar community?
How familiar are you with Glenwood? *
Do you have other family members who will be joining a LIFE Group with you? *
What type of LIFE Group are you interested in attending? *
What type of content are you most interested in? *
When are you available to meet? *
ie (Monday and Tuesday evenings; Weekends during the day; Anytime)
Is the location of the group important to you? *
Most groups are within 20 mins of the Glenwood campus.
What section should we consider the most when recommending placement in a LIFE Group? *
What else would be helpful for us to know in recommending a placement for a LIFE group?
Are there any specific needs we need to take into consideration?
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