The Leadership Project Application Form

Please answer all of the following questions as fully & honestly as possible. All content will be kept confidential and looked at only by the necessary leadership.

Name

First Name Last Name

Phone/Cell #

Area Code Phone Number

Date of Birth

Month Day Year

E-mail

Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Grade:

School:

Parent/Guardian Name:

First Name Last Name

Parent/Guardian Phone Number:

Area Code Phone Number

Parent Guardian Email Address:

example@example.com

Briefly share how you became a Christian.

Describe your current relationship with Jesus.

How would your "un-churched" friends describe your relationship with Jesus?

What are you doing to continue to grow in your faith?

How would your friends and family describe your personality?

Explain any previous leadership experience (if any).

What would you say are your strengths?

What are three areas in your life that you'd like to work on or see growth?

Why do you want to be a part of The Leadership Project?

What do you hope to get out of this program?

What are the most convenient times for you to meet with a mentor? Please check all that apply.

Weekday: Lunch Time Weekday: After School Weekday: Evening Weekend: Morning Weekend: Afternoon Weekend: Evening

What do you like to do for fun?

Favourite food?

You will received a confirmation email once the form is submitted. If you do not receive it, the form has not be submitted.