Are you between the ages of 18 and 25 years old?
Street Address Line 2
State / Province
Postal / Zip Code
Currently Living With
Parents/ Legal Guardian
Do you have a legal drivers license?
Do you have allergies or dietary restrictions?
If so, please list and describe them below
Is there any current health information that you feel is important we should know?
If so, please feel free to let us know
Emergency Contact Name
To the best of your ability, what was the date you became a follower of Jesus?
Please share with us how you came to be a Christ follower and what your spiritual walk looks like today.
Please describe your church background (denomination, size, culture) and your involvement in any ministry as well as volunteer activities.
Why do you want to attend citylifeU?
Please select 2 of the internship track options listed below that you are interested in.
From the list above, please select your top two tracks of interest in order of priority.
(ex. Youth Track, Creative Track)
Tell us about your interest or experience in one (or multiple) of the previously listed tracks.
Recognizing that you may be potentially entering ministry, you are held to a higher standard of living a christian life. Is there anything you would like to ask or have a conversation about? (ex. alcohol, relationships, social media..) If so, please let us know below.
Instagram Profile URL (If Applicable)
Facebook Profile URL (If Applicable)
Tik- Tok Profile URL (If Applicable)
Twitter Profile URL (If Applicable)
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