Residency Applications

Hawaii Leadership Residency Application

We are so stoked to have you apply to the internship! Please fill out with accurate and honest information only. Mahalo!
Basic Information
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Birthday*

MonthDayYear
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Which session are you applying for?*
Choose the Session you wish to apply for
How did you hear about the Residency?*

Your Faith
Do you attend church regularly?*
Your Church Name*
Do you serve in your church regularly?*
How does your personal faith in Christ influence the way you approach studying and/or working?*
Tell us a bit about your relationship with God*
Why are you interested in being apart of the Hawaii Leadership Residency?*

References
Family Reference Name*

First NameLast Name
Family Reference Relationship*
Family Reference Email*
example@example.com
Family Reference Phone Number*
Please enter a valid phone number.
Pastoral Reference Name*

First NameLast Name
Pastoral Reference Relationship*
Pastoral Reference Email*
example@example.com
Pastoral Reference Phone Number*
Please enter a valid phone number.
Professional Reference Name*

First NameLast Name
Professional Reference Relationship*
Professional Reference Email*
example@example.com
Professional Reference Phone Number*
Please enter a valid phone number.
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Application Fee*

Application FeeYour one-time application fee of $35

$35.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

Apple Pay

Google Pay

Tuition Options*

Program Tuition: $4,450 – “I would like to include the $500 scholarship donation to help more individuals afford The HLR Program.”□Reduced Tuition: $3,950 – “I am unable to contribute the additional $500 at this time, so I will opt out of the scholarship donation.”
Summer Tuition Options*

Program Tuition: $3,950 – “I would like to include the $500 scholarship donation to help more individuals afford The HLR Program.”□Reduced Tuition: $3,450 – “I am unable to contribute the additional $500 at this time, so I will opt out of the scholarship donation.”
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Hawaii Leadership Residency Application