MSC Application Form: Summer 2018
Thank you for your interest in the prospect of living in Christian community at the Menno Simons Centre! The opportunity for shared communal life is a tremendous privilege that we welcome you to explore with us. Please remember to save your essay answers in a document on your own computer to prevent loss before submitting. We look forward to reviewing your application!
Privacy Policy
Personal data is collected in accordance with the Privacy Policy of the Pacific Centre for Discipleship Association, which operates the Menno Simons Centre (see http://pcda.bc.ca/privacy for details).
Personal Information
Name (first and last): *
Your answer
Email address: *
Your answer
Phone: *
Your answer
Cell phone:
Your answer
Current postal address: *
House #, city, province, postal code and country if necessary
Your answer
Permanent postal address (if different from above):
House #, city, province, postal code and country if necessary
Your answer
Gender (M/F): *
Your answer
Birthdate: *
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Which Christian denomination do you identify with most? (if applicable) *
Your answer
How did you hear about us? *
Your answer
Which institution will you be attending? *
Faculty/major: *
Your answer
Program year:
Previous post-secondary institution(s):
Your answer
Previous accommodation(s):
Your answer
Medical/physical conditions or disabilities we need to be aware of:
Your answer
Dietary restrictions:
Any allergies? Are any so severe that you can't be around a certain food? Are you a vegetarian? etc.
Your answer
Emergency contact person and phone number:
Your answer
Move-in Information
What day are you hoping to move in? (earliest: May 1) *
Subject to Residence Coordinators' availability for check-in. If you would like to move in a few days early, please contact us to see if this may be possible.
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What day are you hoping to move out? (latest: Aug 31) *
Subject to Residence Coordinators' availability for check-out.
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Accommodation requested: *
Subject to availability. Room rates can be found at http://pcda.bc.ca/msc-residence/apply-to-live-here/. Upon acceptance, a $250.00 damage/holding deposit will required to confirm your acceptance.
Required
Character Reference
Character reference's name: *
Your answer
Occupation: *
Your answer
Relationship to you: *
Your answer
Email address: *
Your answer
Telephone number: *
Your answer
Character and Purpose Statements
Statement of character: *
In approximately 300 words, please 1) Describe your personal character; 2) Share with us about your spiritual journey; 3) Share some of your hobbies and interests; and 4) Share what you have done since high school (if you are not currently attending).
Your answer
Statement of purpose: *
In approximately 300-500 words, please answer the following questions: (1) Why are you choosing to attend the university or college you have decided upon (if applicable)? (2) What are your future vocational goals and interests? (3) Why do you want to live in the Menno Simons Centre and how do you see yourself benefiting from and contributing to the community here?
Your answer
Expectations
Community expectations: *
Staying at the Menno Simons Centre involves living in close proximity with others. In addition, there are optional weekly potlucks and mandatory shared cleaning tasks. The community atmosphere is great to live in, but it depends on the involvement of all residents. Since the Menno Simons Centre is an intentional Christian community house, we expect you to: (1) contribute ONE HOUR OF LABOUR per week, (2) PAY RENT at the Centre on time (at the beginning of your stay), and (3) REFRAIN from the use of alcohol, tobacco, harmful drugs and involvement in behaviour detrimental to Christian community on MSC premises. Are you prepared to commit to these expectations and make shifts in your schedule accordingly?
Required
Summer retreat: *
During the summer, Menno hosts an optional summer retreat which includes time spent in worship, discussion around Christian community, games & free time. This year, we will be going a camp/retreat centre (final location TBD) from June 1-3. We intend to keep the cost below $100 per resident. You are not required to commit now, but we'd like to get a sense of how many would potentially be interested.
Required
Newsletter:
Would you like to receive our newsletter, sent out 2-4 times per year?
Signature
In signing the following, I acknowledge that I have accurately answered all of the questions and I consent to the Menno Simons Centre contacting the character reference named in this application. *
Please type your name in CAPITAL letters to represent a signature
Your answer
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