Start a Life Group

Start a Life Group Request

Thank you for being willing and interested in starting a Life Group! We are so excited about your passion and hunger to help build community. Please fill out this form below to help provided the necessary information. Thanks!
Name *

First Name Last Name
E-mail *
example@example.com
Phone Number: *

Area Code Phone Number
Do you have someone co-leading with you? *

Yes No
If yes, please provide their NAME and their contact email.
Does your Life Group have a specific focus? (ie, Marriage, Worship). It does not have to :).
Please give us a brief description about yourself, and your passions. This will be posted on the website.
Where will your gathering be held? *
Address of House or Other Location *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Gathering dates *

Weekly Bi-weekly
Day or days of the week for the gathering: *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Start Date: Please have groups start after October 16th.

Month Day Year
Date
End Date:

Month Day Year
Date
Start Time: *

: Hour Minutes AM/PM Option
End Time *

: Hour Minutes AM/PM Option
Age range that is welcome: *

0-12 yrs Teens- 18yrs Over 21yrs 35 yrs & up All Ages
Are you willing to complete the Online Training for Life Group Leaders? *

Yes No
Please upload a PICTURE of yourself! These will be put on the website with your Life Group. Some people know faces better then names :)

Browse Files

Cancel of
Please note:

After filling out this request your application will be reviewed and we will be in touch with you.

If you have not heard back from us after 7 days then please reach out to - info@lifechurchsalem.com

Upon approval links to the Life Group Leader training will be sent out to you along with any additional information.
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Start a Life Group Request