CATALYST APPLICATION

Catalysts - Application

Personal Information:

Legal Name:(Required)

First Last

Phone(Required)

Email(Required)

Please provide your personal email address and NOT a school email address.

Married?:(Required)

Yes

Do you have a valid driver's license?(Required)

Yes

Ethnicity:

Are you a US Citizen?:(Required)

Yes

I am a permanent resident of the US

I am an international student studying in the US

Please select your first preference of possible Catalyst position.(Required)

Please select your second preference of possible Catalyst position.(Required)

Please select your third preference of possible Catalyst position.(Required)

What term are you looking to start your Catalyst experience?(Required)

What size t-shirt do you wear?(Required)

What size sweatshirt do you wear?(Required)

University Information:

Name of University Currently Attending:(Required)

Please type N/A if not currently enrolled

What year in College/University will you be while serving as a Catalyst?:(Required)

Current Major:(Required)

School Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code

Church Information:

Name of church you currently attend:(Required)

Current church's affiliation:(Required)

Current Church's Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code

Are you a member of this church?:(Required)

Yes, for more than 5 years

Yes, for less than 5 years

Please provide your membership church name:

Membership Church's Address:

Street Address City State / Province / Region ZIP / Postal Code

Describe when and how you accepted Jesus Christ as your Lord and Savior:(Required)

Describe your baptism experience and what it means to you:(Required)

How have you grown in your relationship with Christ in the past year?:(Required)

What roles of leadership have you held at school and/or church/ministry?:(Required)

Please list N/A if none

In what ways have you seen God use you in ministry?(Required)

In what areas of ministry would you like to improve?(Required)

List employment experience: (optional)

What additional information would you like to share with your field supervisor?:(Required)

Please include information that will help them better know you as a person and give them insight into your skills and interests.

How did you hear about the Catalyst program?(Required)

Please list all known allergies:(Required)

Please include food, medications, environmental, etc. (enter NONE if you have no known allergies).

Sensitive Information

The following questions are highly personal. This sensitive information will be handled confidentially by those who evaluate your application. Because of the high visibility of our personal lives as we minister to others, we need to be above reproach and live in a way that brings glory to God. As representatives of Christ, Catalysts must exhibit strong convictions and a lifestyle consistent with biblical standards. As an applicant, we want you to know that a past problem with illegal drug use and/or immoral relationships will not prevent you from being accepted provided it can be determined that your convictions are strong and consistent with the Bible and a sufficient track record of Christian living has been established.

Have you ever been convicted of a felony or misdemeanor?(Required)

Yes