Group Selection Form
Please complete this form to select your preferred group and provide your details.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Role or Position (if applicable)
Select the Group(s) You Wish to Join
*
Group A
Group B
Group C
Group D
Other
Please rank your group preferences (1 = most preferred)
Rows
Preference Order
Group A
1
2
3
4
Group B
1
2
3
4
Group C
1
2
3
4
Group D
1
2
3
4
Briefly explain why you wish to join your selected group(s)
Are you available for group activities during the following times?
Weekdays (Evenings)
Weekends (Mornings)
Weekends (Afternoons)
Flexible/Other
Do you have any previous experience related to your selected group(s)?
Yes
No
If yes, please describe your experience
Please share any additional comments or requests
Submit Group Selection
Should be Empty: