Application Form

Thank you for your interest
in the Palmetto Collective!

Please fill out the application form below and click submit to apply.

Palmetto Collective Application

Email Address

Mailing Address

Cell Phone Number

College Attending

Anticipated Year in School for Fall 2021


Career Focus/Plans for Future

Church & City Where You Are A Member

Church & City Where You Are Currently Attending (if different)

Pastor/Church Staff Member Who Knows You Well

Please provide their contact information below.

Pastor/Church Staff Member's Name

Pastor/Church Staff Member's Email

Pastor/Church Staff Member's Church

Pastor/Church Staff Member's Phone Number

Church Mailing Address

Describe how you became a believer. Include how you came to faith in Jesus and your Baptism story.

Describe your growth in your relationship with Jesus.

Describe your current involvement in the local church.

Share a recent story of how you have shared the gospel with someone.

List your Missions and/or Ministry Leadership experience.

List your involvement in Student Clubs and/or Organizations.

Describe your level of interest in growing deeper as a missional leader

Are you currently involved in mentoring/discipleship relationship with an older adult?

If yes, please give us the name of the person who is currently mentoring/discipling you and describe how you are connected with them.

How did you hear about the Palmetto Collective?