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Adventure School Application
Basic Info
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Indicates required field
Name
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First
Last
Birth Date
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Sex
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Male
Female
Phone Number
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Shirt Size
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Small
Medium
Large
XL
XXL
XXXL
Email
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Highest Attained Education Level
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High School/GED
College/Undergraduate Studies
Masters/Graduate Studies
Why do you want to attend the Adventure School?
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Home Church
Church Name
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City
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State
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Pastor's Name
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How long have you been attending?
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Health
Do you have any disabilities?
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Yes
No
If yes, please explain:
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Have you ever been diagnosed with any diseases?
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Yes
No
If yes, please explain:
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Have you every been treated or been recommended treatment for any mental or emotional condition?
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Yes
No
If yes, please explain:
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Are there any other specific physical, mental, or emotional needs you have?
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Yes
No
If yes, please explain:
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Please list any current medications you are taking and their purpose:
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Please list any food, medications, and/or insect allergies and describe reaction as well as management of reaction:
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Insurance
Insurance Company
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Insurance Policy #
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Billing Address
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Line 1
Line 2
City
State
Zip Code
Country
Company Phone Number
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Emergency Contact
Name
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First
Last
Phone Number
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Relationship to Applicant
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History
Answering "yes" to any of the following questions will not necessarily disqualify you from attending the Adventure School
Have you used tobacco, illegal drugs, or abused alcohol anytime in the last 3 years?
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Yes
No
If yes, please explain:
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Have you ever been involved in sexual immorality (pre-marital sex, adultery, pornography)?
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Yes
No
If yes, please explain:
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Have you ever been arrested or convicted?
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Yes
No
If yes, please explain:
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Have you ever been involved with the occult or witchcraft?
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Yes
No
If yes, please explain:
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Previous Employment
Please list any previous work experience you may have.
#1 - Company Name
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Position
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Company Address
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Line 1
Line 2
City
State
Zip Code
Country
Dates of Employment
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Company Phone Number
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#2 - Company Name
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Position
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Company Address
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Line 1
Line 2
City
State
Zip Code
Country
Dates of Employment
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Company Phone Number
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#3 - Company Name
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Company Address
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Line 1
Line 2
City
State
Zip Code
Country
Position
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Dates of Employment
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Company Phone Number
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Essay Questions
Provide a one or two paragraph response for the following writing prompts:
Describe your introduction to Christ and his teachings.
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Describe your spiritual beliefs.
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Describe your current relationship with Christ.
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Describe your past adventure experience (i.e. rock-climbing, backpacking, hiking, international travel)
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References
Provide two different references for your Adventure School application. You may not use family members as references.
Reference #1 - Name
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Reference #2 - Name
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Relation to Student (e.g. professor, pastor)
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Relation to Student (e.g. professor, pastor)
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Phone Number
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Phone Number
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Email
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Email
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How did you hear about the Adventure School?
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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 Adventure School Staff to verify any and all information provided on this application.
Submit Application
