New 24/7 application

New student 24/7 application

Please complete the form below to apply for the 24/7 program .
Full Name

First Name Last Name
Birth Date

Month Day Year
Current Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Grade entering in fall 2021
Do you currently have a growing, personal relationship with Jesus?
What would you like to gain from the 24/7 program?
What does Christian leadership mean to you?
Who in your life currently, do you look up to as a Christian leader, and why ?
What is your current level of leadership ( where are you currently leading)?
Are you able to commit to 75% attendance ( 6 months) from September- April)
Please Sign and date
Should be Empty:

New student 24/7 application