CITYSojourn ONE YEAR Application
We are looking for passionate and committed people like you with a heart for Jesus and justice.

We invite you to join us in a discernment process to see if CITYSojourn ONE YEAR is the right fit for you.

1. Fill out the online application.
2. Provide two references.
3. Go through a discernment interview with CITYSojourn. Interviews are scheduled as applications are submitted.
4. We will then give you a decision within two weeks of the interview.
5. Give you time to pray and think before making a final commitment.

CITYSojourn runs Sept 7, 2018 through through July 31, 2019.

April 15: Early bird deadline
June 1: Final deadline

Have questions? Please contact us! 330-915-3013

Email address *
Personal Information
Full Legal Name *
Please enter your name as it appears on your drivers license or state ID
If you prefer to go by another name than what you entered above please enter that name below
Primary Phone *
Social Media Presence
Twitter, Instagram, Facebook, etc.
Address *
Gender *
The Name Of The Church You Attend *
Denominational Affiliation *
Church Address *
Pastor Name *
Emergency Contact Name *
Emergency Contact Phone *
Program Application
How Did You Hear About Us? *
Are you available for the full length of the program, beginning September 7, 2018 and ending July 31, 2019? *
Share your motivation for applying. *
What is your favorite Christian book (other than the Bible) and why? *
What is your favorite secular movie and why? *
Spaces, places, and faces that are life giving to you. *
Tell us about your family *
Others would describe me as? *
In what ways do you see CITYSojourn ONE YEAR being a good fit for you at this point in your life? *
Please list any Lighthouse or CITYSojourn staff or volunteers you know
Wellness Inventory
Do you have or have you had any significant physical conditions or special limitations (climate, diet, exercise, stamina, eating disorder, depression, prescription medication)? *
If you answered "Yes" above please explain.
Have you ever seen a counselor or therapist for any reason (including addiction)? *
If you answered "Yes" please provide a brief explanation (your answer will be kept confidential and is only for our internal use)
Regardless of counseling, have you ever suffered any form of abuse? *
Have you ever been arrested? *
This question can include any violation (other than a minor traffic violation) that resulted in a conviction, a plea of guilty, or no contest, probation, community service, a summary report, or some other form of adjudication. Also includes any pending charges or if you are under any type of legal investigation.
Education and Employment History
Upload your resume (optional)
Upload a recent photo of yourself *
jpg files only
School *
Graduation Year or Current Year in School? *
Major (if applicable)
Minor (if applicable)
Place of Employment *
Title *
Years with the Company *
Short Answer Questions
Describe your faith journey and what's been happening lately in your relationship with God. Please share about your involvement in the Christian community, service commitments, and your personal formation over the past few years. *
What most excites you about living in the city, building healthy relationships with your housemates and neighbors, serving with a local organization, and engaging in spiritual formation? What about this most worries you? *
What are some of the strengths, experiences, and/or skills you have that would positively impact your involvement in each of the following areas: community life, service placement, church community, neighborhood engagement? *
How are peace, justice and diversity related to your faith? *
Please add any other information you feel we should know processing your application.
Please choose two non-family, non-peer persons to provide references for you. References can be pastors, coaches, mentors, professors, etc.
I agree that the information the references provide with CITYSojourn is confidential and will be used solely for the discernment of my application into the CITYSojourn ONE YEAR Program. I also understand that information gathered from references will not be shared with me. *
Name of your first reference *
Relationship *
email *
Phone *
Name of your second reference *
Relationship *
Email *
Phone *
Authenticity Agreement
To the extent of my knowledge, the information on this application is accurate. I understand that placing inaccurate information on the application and background checks revealing undisclosed evidence of criminal activity and/or child abuse will disqualify me from consideration for CITYSojourn ONE YEAR. By means of this release I authorize Lighthouse Ministries to make inquiries about me with the people listed in this application.
Name *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service