Student Group Leader Entry

We are so excited that you are interested in leading or hosting a group! Please complete the form below so we can follow up with you on your next step in becoming a group leader/host.

Group Leader Information

First Name

Last Name

Mobile Number

Group Meeting Information

Name of your Group

Group Description

Curriculum Title & Author

What is your target audience?

Group Type(s)

What Grades do you want to lead?

7th 8th 9th 10th 11th 12th

Will Group meet In Person or Virtual?

Group Location

Meeting Address / Location

Day of Week

Time of Day

Show in Directory

Max Participants (Including Leaders and Co-Leaders)

Submit