Discipleship Application Form

Discipleship Application

Please complete the form below to apply for the Discipleship Program in Penn Yan, New York.
Name on your passport *

First Name Middle Name Last Name
Preferred Name:
Current Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email Address *
Phone Number

Area Code Phone Number
Birth Date

Month Day Year
How long would you like to study with us?
Start date

Month Day Year
Level of Bible Knowledge
Level of English
Do you have the support of your (where it applies)

Parents Pastor Spouse
What will you do for housing?

I will find an apartment I would be willing to live with a family
What will you do for financial support?

I have money saved I would be willing to work part-time
Do you have your own lap top?

Yes No
What countries have you traveled to in the past?
Previous occupations
Why do you want to be a part of our discipleship group?
Please describe your current spiritual condition
Please describe your vision and calling?
Should be Empty: