Small Group Initiative
RequiredRequired Question(s)
Required 1.
Please provide the following information about yourself.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Best Phone Number:

Required 2.
What is your role with the Small Group Initiative?
I am HOSTING a small group.
I am PARTICIPATING in a small group.
Required 3.

Are you a member of Temple Beth El of South Orange County? 

(Only HOSTS are required to be members.) 

Yes
No
The following questions are for PARTICIPANTS. 
 
4.

For PARTICIPANTS only:

IF you are already in a small group, please provide the name of your small group's HOST. 

 

50 characters left.
5.

For PARTICIPANTS only:

IF you are NOT already in a small group, please provide some information about what you are looking for from a small group experience.

 

1000 characters left.
The following questions are for HOSTS only.
 
6.

For HOSTS only:


Please provide the names of individuals participating in your group.

 

350 characters left.
7.

For HOSTS only.


Are there spaces for more participants in your small group? If yes, please indicate how many spaces are available in the comment box.

No
Yes
  • Comment:

  • 500 characters left.
8.

For HOSTS only:


Please provide (if there is one) the common theme of your small group. (For example: we are all entrepreneurs, or families with young children, or empty-nesters.)

 

350 characters left.