Surge Application Form

Apply for Surge!
Surge is a Discipleship training program in Denver, CO by Forge - Equipping high school students to surge forward with God and launch into a life of everyday Kingdom impact!
Bio Info
Your Name *

First Name Last Name
Your Email *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Do you live outside of the Unites States of America? *

Yes No
International Phone Number

Country Code Area Code Phone Number
Mobile Number

Area Code Phone Number
Birthdate *

Month Day Year
Gender *
T-Shirt Size *
Parent Information
Parent #1 Relationship *
Parent #1 Name *

First Name Last Name
Parent #1 Email *
Parent #1 Cell Phone *

Area Code Phone Number
Parent #1 Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Parent #2 Relationship
Parent #2 Name

First Name Last Name
Parent #2 Email
Parent #2 Cell Phone

Area Code Phone Number
Parent #2 Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Tell Us a Little Bit More About Yourself
Which Surge program are you applying for? *
Facebook or Instagram URL (so we can see your picture!) *
www.facebook.com/...
How did you hear about the program? *
If you were referred by a Forge speaker or heard of Forge through an event, which speaker introduced you?
Please share a few specifics about how you heard about Forge. *
Health Information
What is your general health/physical condition? *
Have you ever had a serious accident or any chronic health issues that would limit your ability to adjust to changes of climate, diet, or standards of living? *
If yes, please explain:
Have you ever experienced any emotional or mental difficulties (e.g. depression, eating disorders, suicidal thoughts, obsessive compulsive disorders, addiction to drugs, alcohol, pornography, etc.)? *
If yes, please explain:
Are there any special considerations or amenities you need due to a health related condition? *
If yes, please explain:
Personal and Spiritual Information
Describe your salvation experience and your spiritual life today. Please include how you regularly cultivate your relationship with God. *
What do you believe are three strengths and three weaknesses that would impact your involvement on a team? *
Describe your family life, including your relationship with your parents and any siblings. Be sure to mention any significant family experiences that have shaped your life. *
Give your reasons for wanting to participate in this Forge training program and describe what you hope to gain from the program. *
Which word best describes how you see yourself? *
If other, please choose a different word.
Which statement best describes your personality? *
How are you most energized? *

By being with others By enjoying alone time
What do you prefer most? *

Individual or small group conversations Large group events and interactions
What best describes you? *

Living more spontaneously Knowing your schedule in advance
How do you typically make decisions? *

Go with gut instinct Think through all options Weigh impact on heart an emotions
References

Please provide the contact information for a spiritual/pastoral and general character reference. We will reach out to these people to complete a reference on your behalf. We recommend that you ask permission from your references before submitting their contact information to this form. (NOTE: Please avoid selecting family members for your references. Also, for your spiritual reference, if you’re not closely connected with your current pastor, please select a mentor of yours who knows your recent spiritual journey.)
Spiritual/Pastoral Reference Name *

First Name Last Name
Spiritual/Pastoral Reference Phone *

Area Code Phone Number
Spiritual/Pastoral Reference Email *
example@example.com
General Reference Name *

First Name Last Name
General Reference Phone *

Area Code Phone Number
General Reference Email *
example@example.com
Discount Code
Statement of Agreement
I have sensed God's direction in submitting this application for Surge. I trust and accept the discernment of the review team and will abide by their decision. In the event of my acceptance, I agree to abide by all present and subsequently issued policies of Surge. I clearly understand that if accepted, full payment for the total cost of the program is solely my responsibility, and that I am responsible for all expenses incurred on my behalf in the event I should voluntarily leave or be excused from the program due to disciplinary actions taken.
I have read and fully agree with the above statement. *
Signature *

Clear
Parent or Legal Guardian Signature *

Clear
Should be Empty:

Apply for Surge!

Surge is a Discipleship training program in Denver, CO by Forge - Equipping high school students to surge forward with God and launch into a life of everyday Kingdom impact!

Bio Info

Parent Information

Tell Us a Little Bit More About Yourself

Health Information

Personal and Spiritual Information

References

Discount Code

Statement of Agreement