High School Application - R-MC Convergence 2019
Thank you for your interest in Convergence: A Youth Theology Institute in Faith and Science. Applicants should meet the following criteria:
• Will complete 9th, 10th, or 11th grade by June 2019
• Interested in exploring the convergence of Faith and Science
• Demonstrates a strong academic record
• Actively participates in a Christian Church

Maximum enrollment is 40 students. Acceptance will be offered on a rolling basis-- apply early in order to secure your place.

Those accepted into the program will reserve their place by completing the Parent/Guardian liability form and paying in full the program cost of $250. All other costs (housing, meals, materials, activities, transportation, and more) are paid by a generous grant from the Lilly Endowment.

Full name *
Your answer
Street address *
Your answer
City, State, Zip code *
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Student email
Your answer
Student cell phone
Your answer
Parent 1 name
Your answer
Parent 1 email *
Your answer
Parent 1 cell phone *
Your answer
Parent 2 name (if applicable)
Your answer
Parent 2 email (if applicable)
Your answer
Parent 2 cell phone (if applicable)
Your answer
Name of high school *
Your answer
By summer 2019, which grade will you have completed? *
What is your current GPA? *
Your answer
What science courses have you completed in high school? *
Your answer
What is the name of the church where you actively participate? *
Your answer
What is your main reason for applying to Convergence: Where faith and science meet ? *
Your answer
What area(s) or field(s) of science interest you most? (for example--chemistry, environmental issues, robotics, astronomy, geology, etc.) *
Your answer
What aspect of Christian life interests you the most? (for example--prayer, scripture, worship, service to others, evangelism, etc.) *
Your answer
What strengths or gifts do you feel you will bring to the group if you are selected to participate in Convergence? *
Your answer
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