I'm interested in joining your EfM group!

First Name:

Last Name:

Email:

Phone:

Mailing Address:

City:

State/Province:

Postal Code:

Where are you in the program? Choose one I am starting the program (Year 1) for the first time. I completed Year 1 in another group and am starting Year 2. I started Year 1 in another group but didn't finished it. I completed Year 2 in another group and am starting Year 3. I started Year 2 in another group but didn't finished it. I completed Year 3 in another and am starting Year 4. I started Year 3 in another group but didn't finished it. I started Year 4 in another group but didn't finished it. I am not sure.

What is your current faith tradition?

Do you need tuition assistance? Choose one Yes No Not sure

What else would you like the mentors to know?