Personal
Full Name
*
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Male/Female
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Denomination Affiliation (if any) & Home Church
*
Primary Parent/Guardian Name
*
First Name
Last Name
Primary Parent/Guardian E-mail Address
*
Primary Parent/Guardian Phone Number
*
Primary Parent/Guardian Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Education
University
*
Other Universities Attended
Major(s)
*
GPA
*
Date Entered
-
Month
-
Day
Year
Date
Graduation Date
*
-
Month
-
Day
Year
Date
References
Please provide four references, one pastor/ministry leader, one current or former employer, one professor and one character reference. Please do not include any family members. Please let your references know that we will be contacting them.
Ministry Reference
Preferably a campus minister or pastor that knows you well and with whom you have had meaningful spiritual discussions.
Title
*
Please Select
Dr.
Mr.
Mrs.
Ms.
Miss
Coach
Pastor
Professor
Name
*
First Name
Last Name
Organization/Employer
*
Email
*
example@example.com
Employment/Volunteer Reference
Preferably a manager or volunteer leader that can speak to your work/volunteer experience, work ethic, etc.
Title
*
Please Select
Dr.
Mr.
Mrs.
Ms.
Miss
Coach
Pastor
Professor
Name
*
First Name
Last Name
Organization/Employer
*
Email
*
example@example.com
Educational Reference
Preferably a professor, department chair, or other university official that can speak to your academic performance, work ethic, etc.
Title
*
Please Select
Dr.
Mr.
Mrs.
Ms.
Miss
Coach
Pastor
Professor
Name
*
First Name
Last Name
Organization/Employer
*
Email
*
example@example.com
Character Reference
Preferably a friend or colleague that knows you well and can speak to your overall character. This should not be a student, roommate, or family member. Ideally, this person should be over the age of 28.
Title
*
Please Select
Dr.
Mr.
Mrs.
Ms.
Miss
Coach
Pastor
Professor
Name
*
First Name
Last Name
Organization/Employer
*
Email
*
example@example.com
Short Answers
Please provide complete, well-written answers.
How did you learn about the Falls Church Fellows Program and what attracts you to it? What do you hope to achieve?
*
What is your spiritual background and testimony? Please include your statement of belief regarding salvation and your current relationship with God.
*
What do you perceive to be your three greatest strengths and your three greatest weaknesses?
*
Please describe your family background and your current relationship with your parents and siblings. How has your background shaped you?
*
0/250
Describe someone who has influenced your life in an important way. Why has your relationship with this person(s) been so important?
*
0/250
Please describe two hobbies, activities, places, books, or pieces of music that you love. Please explain why these are important to you.
*
Which part of the program (e.g. classes, job, service, community, living situation, etc.) do you look forward to the most and the least? Please explain.
*
What has been one of your greatest failures in ministry or leadership? What did you learn from it?
*
0/250
Please describe your involvement in ministry and church during college, particularly any experience you have had in discipling others
*
0/250
Please describe your leadership experience and the key lessons you have learned from it.
*
0/250
What is your experience working with teenagers or in student ministry? How do you think your gifts will contribute as a student ministry small group leader? What are your concerns, if any, about being a small group leader?
*
Work Placement Experience & Preferences
What sense of calling (if any) do you have and what are your vocational interests? How has that developed over time?
*
Please select up to three vocational fields you would be most interested in for an internship.
*
Student Ministry Staff
Non-Profit/Ministry
Education
Government
Arts
PR/Communications
Other
Based on all of your experiences to-date (employment, education, volunteer, etc.) what kinds of things do you enjoy doing and not doing. Please explain.
*
Please describe any work or volunteer that you have had that is not listed on your résumé. Regarding the volunteer experience, why was it important to you?
0/250
Personal Beliefs & Background
Please provide complete, well-written answers.
What is your position on each of the following issues: alcoholic beverages, drugs, premarital sex, smoking, homosexuality, and abortion?
*
Are you in counseling, under a medical doctor's care, or on medication for emotional, psychological, or physical reasons? Please explain.
*
Have you ever been convicted of anything more serious than a traffic violation? If yes, please explain.
*
Have you applied to any other Fellows programs? We try to coordinate admissions efforts with other programs- please rank the programs according to your preference.
*
Additional Information
Upload Résumé
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Current Photo
*
Upload a File
Drag and drop files here
Choose a file
Optional
Cancel
of
Any Additional Documents
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Signature
*
Date
*
-
Month
-
Day
Year
Date
Continue
Continue
Should be Empty: