YEAR TWO APPLICATION

Please complete the following, if any changes have occurred since you registered for Year One.

Name

First Name

Last Name

Date of Birth

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Alternate Phone Number

(###)

###

####

Email Address

Marital Status

Single

Married

Divorced

Widowed

What goals do you hope to achieve during your participation in year two of the program?

Why is it important to you to balance your personal and ministerial lives, and how do you believe this can be done?

Please summarize what you found to be most impactful in your experience of year one of the program.

Once submitted you will be asked to proceed with your $75 non-refundable application fee.