First Name *

Last Name *

Year in school *

Email *

Phone Number *

Campus *

If Other, what campus are you from?

Permanent Street Address *

City *

State *

Zip Code *

Gender *

T-Shirt Size *

Emergency Contact *

Relationship to Emergency Contact *

Phone Number of Emergency Contact *

Email Address of Emergency Contact *

Will you be at least 18 years old on July 1st, 2019? *

Briefly describe how you came to faith in Christ. *

Briefly describe you involvement with the Navigators so far. *

Name of your current campus leader. *

Name of current Navigator staff member who knows you best. *

What do you hope to gain from this Summer Program? *

Briefly describe your personal devotional life. *

Briefly describe your involvement with small group Bible studies. *

Briefly describe your experience with Scripture memory. *

Briefly describe your experience with personal evangelism. *

How do your parents feel about your involvement with this program? *

Do you plan to fundraise for this program? *

Do you have any special concerns with fundraising? *

Upon completion of this application, please send your $50 non-refundable application fee to the registration coordinator. Please make your check payable to The Navigators and make sure your name is on the check or in the memo line. *