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Block Leadership Development Application
Thank you for your interest in serving God through The Block Church for Summer 2018! This is a 9-week long program focused on urban church planting and hands-on ministry experience. We are looking for Christian ministry-minded individuals who are focused on serving Jesus and people.

The term of this program is May 27- July 29, 2018. All applications are due by April 15, 2018. Full-time enrollment fee is $600 and part-time enrollment is $300. The fee covers, lunch once a week, a trip to Cincinnati, a book, and merch. You must be 18 or older to apply.

We are committed to finding each full-time student housing for the duration of the program. You are responsible for your own food and gas costs.

We are working to make this summer the best format so the following is subject to change:
Full-time enrollment is Sunday-Thursday
Part-time enrollment is Tuesday and Sunday all day (no housing provided)

If you have any questions, feel free to email Pastor GraceAnn Hector at ghector@theblockchurch.org

First Name *
Your answer
Last Name *
Your answer
Which phase of the program are you applying for?
Are you applying for full-time or part-time *
Gender *
Address (city, state, zip) *
Your answer
Email *
Your answer
Phone Number *
Your answer
Age *
Your answer
Birthdate *
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DD
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YYYY
Instagram handle *
Your answer
Facebook name *
Your answer
What languages can you read, speak, and write fluently?
Your answer
What do you like to do for fun? *
Your answer
How did you hear about the internship? *
Your answer
Emergency Contact Name (first and last) *
Your answer
Relationship to contact *
Your answer
Phone number of your emergency contact *
Your answer
Do you have reliable transportation that you will be bringing with you? *
Have you ever been convicted of any crime other than a minor traffic violation? (This does not disqualify you, we will follow up.) *
What college/university are you attending? (if not a student, write N/A) *
Your answer
Amount of years completed? *
Your answer
Degree working towards *
Your answer
What church ministries have you been a part of? *
Your answer
Name of Church served at *
Your answer
Reason for interest in the TBC Leadership Development Program *
Your answer
Which ministry would you like to focus on during this program? *
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