Discipleship 2:52 Application

Basic Info

* Indicates required field

Name *

First

Last

Birth Date *

Sex *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Shirt Size *

Email *

Highest Attained Education Level *

Why do you want to attend Discipleship 2:52? *

Home Church

Church Name *

City *

State *

Pastor's Name *

How long have you been attending? *

History

Answering "yes" to any of the following questions will not necessarily disqualify you from attending Discipleship 2:52.

Have you used tobacco, vaping, illegal drugs, or abused alcohol anytime in the last 3 years? *

If yes, please explain: *

Have you ever been involved in sexual immorality (pre-marital sex, adultery, pornography)? *

If yes, please explain: *

Have you ever been arrested or convicted? *

If yes, please explain: *

Have you ever been involved with the occult or witchcraft? *

If yes, please explain: *

Past Work Experience or Skill

Past work experiences or skills you may have (check all that apply) *

Other noteworthy experiences or skills *

Essay Questions

Provide a one or two paragraph response for the following writing prompts:

Describe your introduction to Christ and his teachings. *

Describe your spiritual beliefs. *

Describe your current walk with Christ. *

Describe your past discipleship experience (i.e. one-on-one mentorship, small group, etc.) *

References

Provide two different references for your Discipleship 2:52 application. You may not use family members or any Camp Staff as references.

Reference #1 - Name *

Reference #2 - Name *

Relation to Student (e.g. professor, pastor) *

Phone Number *

Email *

How did you hear about Discipleship 2:52? *

By pressing "Submit Application" I am declaring that the information provided on this application is correct and true to the best of my knowledge. I authorize the Heavenly Hills Camp Staff to verify any and all information provided on this application.

Submit Application