Institute Application

Institute Application
Name

First NameMiddle NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender
Ethnicity
What church do you attend?
Marital Status
If married, what is your spouse's name?

First NameMiddle NameLast Name
Do you have children?
If yes, what are their ages?
Background and Institute Interest
How did you hear about the Equipping Collective Institute?
Do you know anyone who has gone through the Downline Institute?
Occupation
What is your t-shirt size?
Briefly describe your salvation experience.
Have you had any roles or opportunities to use your gifts to serve the Body of Christ? Explain.
Why do you desire to become a student in the Equipping Collective Institute?
WELLSENT

A curated yearlong discipleship experience for Young Adults
Do you qualify for the WELLSENT program?
How did you hear about the WELLSENT Program?
Why is the WELLSENT program attractive to you, and what do you hope to gain from the program?
Most recent college or professional school attended
Please list and describe leadership positions you have held in your community and/or church.
Please list any recent job history (previous 2 years).
What books (other than the Bible) have impacted the way you live? Please explain below.
Who has had the biggest impact on your life? Has anyone discipled you before? If so, briefly describe what that relationship looked like.
Briefly share your testimony and what God is currently teaching you.
What are the essentials of the gospel of Jesus Christ?
Have you ever struggled with depression or anxiety? Have you ever gone to counseling for any reason?
Please state your view, and your past or current struggle (if any) in regards to drinking.
Please state your view, and your past or current struggle (if any) in regard to drugs / substance abuse.
Please state your view, and your past or current struggle (if any) in regards to premarital sex.
Please state your view, and your past or current struggle (if any) in regards to homosexuality.
Please state your view, and your past or current struggle (if any) in regards to pornography.
References
Character Reference Name

First NameMiddle NameLast Name
Character Reference E-mail Address
example@example.com
Character Reference Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Pastoral / Spiritual Mentor Reference Name

First NameMiddle NameLast Name
Pastoral / Spiritual Mentor Reference E-mail Address
example@example.com
Pastoral / Spiritual Mentor Reference Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Institute Application

Background and Institute Interest

WELLSENT

References