2014-2015 Oikos Small Group Application

If you would like to join a HolyWave Oikos small group, please fill out the following required sections
of this application. The information you provide will be used to place you in the right Oikos group.
(If a section does not apply to you, please write "N/A" for "Not Applicable".) Thank you!

PERSONAL INFORMATION

First Name: *This question is required.

Middle Initial:

Last Name: *This question is required.

Gender: *This question is required.

Date of Birth: *This question is required. (mm/dd/yyyy)

calendar

Life Stage: *This question is required.

Please enter an 'other' value for this selection.

Street Address: *This question is required.

City: *This question is required.

State: *This question is required.

Postal Code: *This question is required. This question requires a valid number format.

Primary Phone Number: *This question is required.

Primary E-mail Address: *This question is required.

Spouse (if applicable)

Children (if applicable)

CHRISTIAN FAITH

Which of these words best describes where you are at currently in regards to
your faith in Christ? *This question is required.

Please enter an 'other' value for this selection.

MEMBERSHIP

What is your membership status at our church? *This question is required.

Please enter an 'other' value for this selection.

Membership #: This question requires a valid number format.