Leader Intake Form

About You
Fields marked with * are required!
(if applicable)
About Your Growth Group
Confirm which Campus your group is associated with: *
Confirm which Station-in-Life your groups has been designated to: *
Which night is your group meeting? *
Start Time: * (ex 7:00pm)
Meeting Location:*
Our home Host home Other
If other, please specify:
Do you have a group host? * Yes No
If yes, who is it? (please give names and phone numbers):
Group Max: * 12 14 16 Other
If other, please specify max number:
Do you have any new members to pre-enroll in your group? *
Yes No
If you do have new members to pre-enroll, please give first and last names, and phone numbers if possible:
Please answer the following questions for your group description. If your spouse is leading with you, please answer each question for both of you.
When did you start coming to North Coast (approximate)?
How long have you been involved in Growth Groups?
What is your occupation? *
Please list any previous ministries you’ve been involved in?
What are your hobbies, interests, or free time activities?
Optional: Is there any special focus or theme that your hope your group has (e.g. family, friendships, accountability, encouragement, doing life together)?
Leader and Host Photos: Please upload a photo of you (and your spouse if applicable) and your host for us to use on our Growth Group website.
Please name your photo file with the leader and/or host last name before uploading so we can identify the photos.

Allowed: jpg,png,bmp,jpeg Maximum Size 5.0 MB
Click the Choose File button and browse to where your photo is stored on your computer.