Workgroup / Rooming Request

1
Adult Leader or Student?* This field is required.
Adult Leader
Student
2
Roommate / Work Group request for: * This field is required.
High School Mission Trip
Middle School Mission Trip
7th Grade Trip
3
Your Name* This field is required.
First Name
Last Name
4
Grade Fall of '26* This field is required.
Please Select
Please Select
College 'class of '26
12th 'class of '27
11th 'class of '28
10th 'class of '29
9th 'class of '30
8th 'class of '31
7th 'class of '32
5
Roommate Request #1* This field is required.Please list someone you would like to have as your roommate.
First Name
Last Name
6
Roommate Request #2* This field is required.Please list someone you would like to have as your roommate.
First Name
Last Name
7
Roommate Request #3Please list someone you would like to have as your roommate.
First Name
Last Name
8
Workgroup Request #1* This field is required.Please list someone (leader or friend) you would like to have in your workgroup.
First Name
Last Name
9
Workgroup Request #2Please list someone (leader or friend) you would like to have in your workgroup.
First Name
Last Name
10
Are you in a Cell Group?
Yes
No
11
Select Your Cell Group
Please Select
Please Select
Joseph 12th
Bator/Schechter 11th
Joseph 11th
Loomis 11th
Loomis/Muncy 12th
Randolph/Wanjura 12th
Briseno/Dumas 11th
Meline/Robbins 10th
Potter/Lestor 10th
Joseph/Seidner 12th
Meline/Reppeto 9th
Parker/Meredith/Muncy 9th
12
List any adults leaders or students you would like in your work group.Optional
Huge
Large
Normal
Small
Ok
Ok
13
Any additional comments or concerns that will help WC Students before we make work groups?
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: