citylifeU Application
2023-2024
Personal Information
Your Name
*
First Name
Last Name
Are you between the ages of 18 and 25 years old?
*
Yes
No
Birthday
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
000-000-0000
Permanent Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Currently Living With
Parents/ Legal Guardian
Roomate
Alone
Other
Marital Status
Single
Engaged/Married
Divorced
Widowed
Do you have a legal drivers license?
Yes
No
Health Information
Do you have allergies or dietary restrictions?
Yes
No
If so, please list and describe them below
Is there any current health information that you feel is important we should know?
Yes
No
If so, please feel free to let us know
Emergency Contact
*
Emergency Contact Name
Relationship
Home Phone
Cell Phone
State
Spiritual Background
To the best of your ability, what was the date you became a follower of Jesus?
-
Month
-
Day
Year
Date
Please share with us how you came to be a Christ follower and what your spiritual walk looks like today.
*
Minimum of 150 words
0/800
Current Church
*
Please describe your church background (denomination, size, culture) and your involvement in any ministry as well as volunteer activities.
citylifeU Tracks
Why do you want to attend citylifeU?
*
Please select 2 of the internship track options listed below that you are interested in.
*
Worship Track
Youth Track
Creative Track
Kids Track
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)
*
Submit
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