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Fields
Group Leader's Name:
*
Email
*
Time
*
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Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
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Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
Are you volunteer approved?
*
Yes
No
Unsure
Are you a current member of Victory?:
*
Yes
No
How long have you been a member of Victory?:
*
Have you completed Victory's Growth Track?
*
Yes
No
Have you completed group leader training?:
*
Yes
No
Phone Number
*
Do you have a Co-Leader?
*
Yes
No
Name of Group
*
Description of leader
*
Group Gender
*
Female
Male
Co-Ed
Who is your group for?
Are children welcome?
*
Yes
No
Target age or Season of Life for your group?
*
Is your group based on a specific interest?
*
Yes
No
What is the interest?
What type of group is it?
Start Date
*
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Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
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31
Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
What day does your group meet?
*
Dropdown List
*
One Time Event
Repeats Weekly
Repeats Monthly
How often does your group meet?
Each
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How often does your group meet?
Every...
On the...
Week of...
What time does your group meet?
*
Hour
01
02
03
04
05
06
07
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09
10
11
12
Minute
:
00
01
02
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05
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59
AM/PM
AM
PM
Location Name
*
Location Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Location Type
*
Would you like address kept private?
*
Yes
No
Brief description of group
*
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