2023 STREAM Youth Theology Institute Scholar Application
Please allow plenty  of time to complete this application. It has two short essay responses at the end.
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Scholar Last Name: *
Scholar First Name: *
Scholar Middle Name: *
Preferred Name:
Street Address: *
City: *
State: *
Zip Code: *
Phone: *
Scholar's Email: *
Guardian/Parent's Email: *
Gender: *
Date of birth: *
Place of birth: City, State (Country, if not US): *
High School: Name, City/State *
Last Grade Completed: *
T-Shirt Size: *
Church Name: *
Denomination: *
Pastor's Name: *
Pastor's Address: *
Pastor's Phone: *
Pastor's Email: *
From what part(s) of the world do you trace your predominant ethnic heritage? *
Name(s) of parent(s) or legal guardian(s) *
Hobbies or special interests: *
What university, college, or technical/vocational school would you like to attend? *
Are there other youth you believe we should be sure to invite next year? If so, please tell us their names, addresses and their CURRENT grade(s) in school: *
How did you hear about STREAM? *
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