GIA Study Groups Application Form – Generation Impact Academy

Generation Impact Study Groups Application Form

Thank you for your interest in hosting a Generation Impact Study Group.

Please complete the form below to apply. After you have submitted the form, we will get in touch with you as soon as possible to discuss the next steps in your journey ahead.

Comments

This field is for validation purposes and should be left unchanged.

Facilitator of Study Group

Name(Required)

First Name Surname

Mobile Number(Required)

Email(Required)

Enter Email Confirm Email

Church Affiliation or Membership Details

Church Name(Required)

Contact Name(Required)

Contact Number(Required)

Meeting Information

Address where the group will operate(Required)

Street Address Suburb City Province Postal Code Country

Meeting Day(Required)

Meeting Time(Required)

Groups should be meeting at least once a week, here is the proposed day in the week the group will meet and what time.

Indicate the Number of Students wanting to join the group

Number of Existing GIA Students(Required)

Number of New GIA Students(Required)

NOTES:
1. On registration of the study group, orientation and training will be required.
2. A full list of student details will be required on successful registration.

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