STUDENT
APPLICATION

A note of encouragement:

Students, there may be parts of this program that sound scary or intimidating—like talking in front of your peers or doing a project—but we know you can do it! What you will gain from this experience will be so worth it. God doesn’t call us to live comfortable lives, He calls us to live courageous lives. And we believe in you!

STUDENT APPLICATION

Name (First & Last)

Email

Phone

Street Address

City

Region/State/Province

Postal / Zip code

Birthday

Parent or Legal Guardian 1 Full Name

Email

Phone

Parent or Legal Guardian 2 Full Name

Email

Phone

If so, where?

If not, please explain.

If so, please explain.

Please share that experience, along with any other parts of your testimony you would like to share.

How does your relationship with God affect your life?

What do you think are the most important qualities of a strong Christian leader?

How do you practice spiritual disciplines in your daily life (prayer, worship, reading your Bible, etc.)?

What are your strengths, and what are your weaknesses?

Why would you like to apply for Hezekiah Project?

REFERENCE 1 Name

How do you know this person?

Email

Phone

REFERENCE 2 Name

Email

How do you know this person?

Phone

PARENT/LEGAL GUARDIAN SIGNATURE. By signing below, I give permission for my child to apply for and participate in the Hezekiah Poject. I acknowledge that they have agreed to the above Core Values and Code of Conduct, and I will commit to support their decision by helping them uphold their commitment.

I have read the Core Values/Code of Conduct for the Hezekiah Project, and I understand that I will be held accountable to those standards.View Core Values/Code of Conduct

Thank you for your application! Remember to submit the video, and we will be in touch!