FaithWalk Incorporated

Purpose:

To empower youth to grow into and develop their God given purpose through the use of their mind, body & spirit.
Locker Program

Program Qualifications:

1.Homeless (lack stable living arrangement)

2. Age 18-25 (state issued photo I.D required)

3. Maintain regular contact with FaithWalk and be working toward self-identified goals. (Lack of contact and working on self-identified goals will result in loss of locker privileges)
Name *

First Name Last Name
Gender *
Age *
Date of Birth *

Month Day Year
Date
Primary Number

Area Code Phone Number
Secondary Number

Area Code Phone Number
Email
example@example.com
How can FaithWalk help you meet your goals? *
How did you hear about FaithWalk? *
Best time for FaithWalk to call or text? *

: Hour Minutes AM/PM Option
Do you have a state issued I.D? *
I understand if selected for this program, locker privileges are temporary. *
Should be Empty:

Purpose: