COL Alpha Project 2024 Application

This is the form for the ALPHA Project 2024 for CO Lynchburg. If you are with another CO region, this is NOT the correct form. Please contact your campus staff for the correct application.
Alpha Project 2024 Application

Thank you for considering the Campus Outreach Alpha Project. This form should take you approximately 15 minutes to complete.
Important Dates:

Application Deadline: April 1st

Commitment Form Due: April 12

Alpha Project Dates: May 13th - May 31st

Acceptance is rolling and space is limited.
Part I: Bio Information
Full Name*

Your First NameYour Last Name
Gender:*
School*
Year*
Major:*
Anticipated Graduation Date:*

Grad MonthGrad DayGrad Year
E-mail:*
Cell Phone:*

Cell Area CodeCell Number
Parent/Guardian's Name(s)*

P/G First Name(s)P/G Last Name(s)
Parent/Guardian's Address*

P/G Street Address

P/G Street Address Line 2

P/G CityP/G State / Province

P/G Postal / Zip Code
Parent/Guardian's Phone:*

P/G Area CodeP/G Number
Your Campus Mailing Address*

School Street Address

School Street Address Line 2

School CitySchool State / Province

School Postal/Zip Code
Do you consistently take any medications or prescriptions?*

YesNo
Are you currently being treated for any psychological or physical conditions?*

YesNo
Please explain below if necessary.
By checking "Yes" you do not disqualify yourself from the Alpha Project. By checking "Yes" you do give our Executive Project Director and Regional Director permission to reach out if necessary to ask for more information. All of your answers are confidential and privy only to the Project Director and Campus Outreach DC Regional Director.

Part II: Reason for Applying & Personal Background
In no less than 3 senstences, briefly yet clearly the following questions.
Would you consider yourself a Christian? Elaborate as you see fit.*
Describe your involvement with Campus Outreach:*
Why are you interested in attending the Alpha Project this year?*

0/500
What are you trusting God to do in your life through the Alpha Project? *

0/500
What are your plans for the summer after the conclusion of the Alpha Project?*

Summer classesInternship/WorkHomeNot sure right nowOther
Part III: Authorization & Consent Form
How do your parents feel about you possibly attending the Alpha project?*
If you checked an answer other than "supportive," how do you intend to talk with them further about it?*

0/500
I agree with the following:*

Yes
I submit that the above information in this application is accurate to the best of my knowledge. I understand that in the event the above information should be found to be untrue, it could result in forfeiting the opportunity to be a part of the Alpha Project.

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Alpha App Fee (Credit/Debit)$15.00

Alpha App Fee (Cash/Check)$ Free

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Alpha Project 2024 Application

Part I: Bio Information

Part II: Reason for Applying & Personal Background

Part III: Authorization & Consent Form