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 NameLast Name
Gender*
Age*
Date of Birth*

MonthDayYear
Date
Primary Number

Area CodePhone Number
Secondary Number

Area CodePhone 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?*

:HourMinutesAM/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: