D-Group Application

Your name *

Last name

Email address *

Phone number *

Phone type

MobileHomeWorkOther

Address *

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Birthdate *

Gender *

Select…MaleFemale

What campus do you attend? *

Burlington

Fort Madison

Danville

When are you available to meet with a D-Group? Select all that apply. *

during the week

on a weeknight

on the weekend

early morning

In 1-2 paragraphs, please share how you came to saving faith in Jesus. *

Because of the length (at least a year) and intimate nature (3-6 people) of our D-Groups, we expect a strong commitment of attending every week, except in the case of illness or travel. Do you have the availability and time to commit to this? *

Why do you want to be in a D-Group? *

If we are able to accommodate, is there anyone you would hope to be matched with in a D-Group? *

Submit

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