My Whole Being Small GroupParticipant Application Name * First Name Last Name Email * Cell Number * (###) ### #### How can we contact you? * Email Cell Number Both Age * What campus are you on? If not attending classes, put N/A What city are you in? Social Media Handles (if you want to share) Why are you applying to participate in the My Whole Being Small Group? * Do you believe you can commit to attending 8 of the 11 weekly online gatherings? Anything we should know about you that would help us welcome you into a safe and comfortable space? (this includes any accommodations you may need) Thank you!