Form

First Name:
Last Name:
E-mail:
Phone:
Gender:
Birthday:
Month Day Year
Are you in college?

Yes No Graduated
Classification:

Freshmen Sophomore Jr. Sr.
Which College?
Have you been in any NLC life groups before?

Yes No
Do you have a personal relationship wih Jesus Christ?

Yes No
Small Groups
Guys Groups (leader/night/city)
Girls Groups (leader/night/city)
Co-ed Groups (leader/night/city)
What are you looking for most in a small group?
Anything you would like to let us know about you? (favorite activities, career goals, famous relatives?)
Serve Teams
Check the box for the ministries you would like to serve in

Little Life KidLife 412 Real Life Elevation Production Team Elevation Host Team Elevation Events Team NLC Worship Team NLC Dream Center Elevation International Elevation UCA Team Elevation Missions Trips Option13
Are you involved in any other church and/or ministryi? If so, describe your involvement.
What prompted you to want to serve?
Describe your personal skills and/or talents.
Should be Empty:

Small Groups