​​​​​​​​​​​​The Well: Summer​ Faith Experience
Official application for ​​​​​​​​​​​​The Well: Summer​ Faith Experience - July 21-26, 2019
Participant First Name *
Your answer
Participant Last Name *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP/Postal Code *
Your answer
Email *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Age *
Your answer
How did you hear about The Well? *
Your answer
T-Shirt size? *
What is your religious affiliation? *
High School Name *
Your answer
Expected High School Graduation Year *
Your answer
Do you have any dietary concerns? *
Your answer
Do you have any allergies? *
Your answer
Emergency Contact
First Name *
Your answer
Last Name *
Your answer
Relationship *
Your answer
Phone Number *
Your answer
Essays
Please answer each of the following questions. Each response should be 350 characters or less.
What specifically do you hope to gain by participating in The Well? *
Your answer
Share briefly about a specific book, movie, painting or piece of music that has profoundly shaped who you are today. *
Your answer
Please name one specific example where your faith influenced how you view school, work, or some extracurricular activity (music, sports, theater, etc.). *
Your answer
Thank you!
We will review completed applications on a rolling basis, notifying applicants of their acceptance into the program. We will continue to accept and review completed applications on an ongoing basis (or until all of the slots are filled).
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