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South Ventura County FCA Student Leadership Interest Form
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* Indicates required question
Email
*
Your email
First Name
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Your answer
Last Name
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Your answer
T-Shirt Size
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XS
S
M
L
XL
XXL
Other:
Birthdate
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MM
/
DD
/
YYYY
Home (Mailing) Address
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Your answer
Cell Phone
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Your answer
What school do you attend?
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Agoura HS
Westlake HS
Moorpark HS
Newbury Park HS
Oak Park HS
Oaks Christian School
Royal HS
Simi Valley HS
Thousand Oaks HS
Other School (Not Listed)
What grade will you be in next school year?
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Freshman
Sophomore
Junior
Senior
Mother's Name (First & Last)
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Your answer
Mother's Email Address
*
Your answer
Mother's Cell
*
(xxx) xxx-xxxx
Your answer
Father's Name (First & Last)
*
Your answer
Father's Email
*
Your answer
Father's Cell
*
(xxx) xxx-xxxx
Your answer
We will be sending your parents an email letting them know what you’re applying for and making sure they are aware of the expectations. Is there any reason we should NOT sent this to your parents? Please explain.
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Your answer
What school sports/activities do you participate in? Indicate what level.
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Your answer
Are there any other school clubs you plan on being a part of next year? Which ones?
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Your answer
Please Read Carefully!
Have you read what is expected of a student leader? (See "Student Leader Expectations" above)
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Yes
No
Required
Is there anything on there you think will be a problem for you to fulfill? Explain.
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Your answer
Please Read Carefully!
Have you read FCA's Statement of Faith? (See "Statement of Faith" above)
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Yes
No
Required
Do you agree with all of it? If not, what part(s) do you not agree with? Is there anything you think is missing or that you would add?
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Your answer
What church do you currently attend?
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Your answer
What does your church involvement consist of?
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Your answer
What is your (youth) pastor's name? (If you don't have one then put N/A)
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Your answer
What is your (youth) pastor's email address? (If you don't have one then put N/A)
*
Your answer
We will be sending your pastor an email letting them know that you are applying to serve as a leader with FCA this next year. Is there any reason we should NOT sent this to your pastor? Please explain.
Your answer
What do you believe it means to be a Christian?
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Your answer
Tell us a bit about how you began to follow Jesus.
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Your answer
What do you understand is the reason (purpose) FCA is on your school’s campus
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Your answer
Share some of the reasons you would like to be on the FCA leadership team.
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Your answer
If you were to die today and stand before God, and He asked you, "Why should I allow you into heaven?" what would you say? (Note: this is a hypothetical question)
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Your answer
Who in your life have you been praying for to give their life to Jesus?
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Your answer
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