TENTMAKERS Change Academy Application
Fill out this form to apply for an upcoming Change Academy. You will be contacted regarding your application within one week of receipt. APPLICATION DUE DATE: August 15, 2018

ADMISSION AWARDS
TENTMAKERS awards admission to individuals that are committed and willing to invest the time and effort to be successful.

PROCESS
Applicants must be a minimum of 16 years old
Review or attend a presentation outlining the TENTMAKERS Change Academy
Review the TENTMAKERS Change Academy Participant Covenant

Complete and submit this TENTMAKERS Change Academy Application
Upon admission, complete the TENTMAKERS Change Academy Registration Form, sign the TENTMAKERS Change Academy Participant Covenant and submit them to TENTMAKERS along with a deposit of $250 by check made out to TENTMAKERS or using the "Give/Pay" tab at tentm.org

Signed TENTMAKERS Change Academy Forms, TENTMAKERS Participant Covenants and deposits should be sent to:

TENTMAKERS
Attn. Mark Eliason
P.O. Box 84
Chanhassen, MN 55317-0084

Applicants will be notified of their status no later than September 1, 2018

Email address *
GENERAL INFORMATION
First Name *
Your answer
Last Name *
Your answer
Birthdate *
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YYYY
Street: *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Mobile Phone *
Your answer
Home Phone (If applicable)
Your answer
QUESTIONS
Please answer each question in 50-150 words.
What do you hope to gain from the TENTMAKERS Change Academy? *
Your answer
Tell us more about you and what attributes you will be bringing to the TENTMAKERS Change Academy: *
Your answer
REFERENCES
Please provide information on two adult references (non-parent or guardian)
Reference #1 Name *
Your answer
Reference #1 Occupation *
Your answer
Reference #1 How you know them *
Your answer
Reference #1 Email *
Your answer
Reference #1 Phone *
Your answer
Reference #2 Name *
Your answer
Reference #2 Occupation *
Your answer
Reference #2 How you know them *
Your answer
Reference #2 Email *
Your answer
Reference #2 Phone *
Your answer
SIGNATURE
I attest that the information included on this application is accurate and I give my permission for these references to be contacted.
Electronic Signature *
Your answer
Date Signed *
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YYYY
Electronic Signature of Parent/Guardian (if under 18)
Your answer
Date Signed
MM
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DD
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YYYY
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