Name
*
First Name
Last Name
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Preferred Form of Communication
*
Call (On Given Phone #)
Text (On Given Phone #)
Email
Facebook
Birthday
*
MM
DD
YYYY
Gender
*
I am a
Relationship Status
*
Single
In a Relationship
Engaged
Married
Other
Father's Name (or Guardian)
First Name
Last Name
Mother's Name
First Name
Last Name
Parent's Phone
*
(###)
###
####
Parent's Status
Has your Father accepted Christ?
Yes
No
Has your mother accepted Christ?
Yes
No
Overall, how do your parents feel about you attending Fullcircle?
High School
*
Did you graduate / Will you graduate?
*
Yes
No
Have you taken any college courses?
*
Yes
No
If yes, what college did you attend?
Please list any courses you have already taken :
Do you have or have you held a job?
*
Yes
No
Please list any current and past employers :
Do you have health insurance?
*
Yes
No
How would you define your health?
*
Excellent
Good
Fair
Poor
Please list any allergies :
Please list any physical limitations :
Please list any current, necessary medications/treatment :
Have you ever used illegal drugs? :
*
Yes
No
If yes, date last used :
MM
DD
YYYY
Drank alcoholic beverages?
*
Yes
No
If yes, date last consumed :
MM
DD
YYYY
Smoked or chewed tobacco?
*
Yes
No
If you answered yes to any of these questions, please give a brief explanation :
What is your current plan to pay for your tuition?
*
Will you have the amounts ready by the appropriate deadlines?
*
Yes
No
I am not sure
Do your have any outstanding debts coming into Fullcircle?
*
Yes
No
Church Name
*
Denomination
*
Church Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Lead Pastors Name
*
First Name
Last Name
Youth Pastor's Name
*
First Name
Last Name
Lead Pastor's Contact Number
*
(###)
###
####
Lead Pastor's Email
*
How long have you attended?
*
How many times a week do you attend your church?
*
What ministries are you involved in?
*
Please select the following that apply to you :
*
What are you passionate about?
*
What gets you fired up...
What are some of your biggest dreams in life?
*
Where do you imagine yourself ending up in your wildest day dreams?
What do you think the role of accountability is when it comes to discipleship?
*
How do you feel about being pushed and held to your goals?
What are some areas of ministry that you would like to pursue?
*
EX : Worship, Preaching, Childrens Ministry, Production, etc..
What types of things motivate you when you are feeling down?
*
How do you keep yourself from burning out?
What qualities do you want to see in a spiritual leader?
*
What do you think it means to be a servant?
*
Why do you specifically feel called to FullCircle
*
What makes you feel called to our specific program as opposed to other options?
What are some weaknesses/struggles that we can help you overcome?
What are some things that you need to work on to get to the next level in your faith?
Pastoral Reference
*
First Name
Last Name
Pastor's Phone
*
(###)
###
####
Pastor's Email
*
Personal Reference 1 (must be non-family)
*
First Name
Last Name
Relationship to applicant :
*
Reference's Phone
*
(###)
###
####
Reference's Email
*
Personal Reference 2 (Must be non-family)
*
First Name
Last Name
Relationship to the applicant :
*
Second Reference's Phone
*
(###)
###
####
Second Reference's Email
*
Please share your personal testimony (200 words or less)
*
