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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 1, 2018. Full-time enrollment fee is $350 and part-time enrollment is $150. 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. You will go on one out of state ministry trip which is included in the full-time enrollment fee.

Full-time enrollment is Monday - Sunday
Part-time enrollment is Thursday and Sunday all day and Tuesday and Wednesday nights (no housing provided)

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

First Name
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Last Name
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Gender
Address (city, state, zip)
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Email
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Phone Number
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Age
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Birthdate
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Instagram handle
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Facebook name
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What languages can you read, speak, and write fluently?
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What do you like to do for fun?
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How did you hear about the internship?
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Emergency Contact Name (first and last)
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Relationship to contact
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Phone number of your emergency contact
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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)
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Amount of years completed?
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Degree working towards
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What church ministries have you been a part of?
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Name of Church served at
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Reason for interest in the TBC Leadership Development Program
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Which ministry would you like to focus on during this program?
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Are you applying for full-time or part-time
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