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Application Form ATTACH PICTURE HERE (2”x2” or Larger)

Part 1 General Information

Full Name_______________________________________________ Today’s Date_________________ Mailling Address__________________________________________ Year Applying for______________ City__________________________________________ State________________ Zip_______________ Home Phone___________________________________ Other Phone___________________________ Email_______________________________________________________________________________ Age_____________

❑ Male

❑ Female Birthday_______________________________

Country of Citizenship_________________________________________________________________ Marital Status:

❑ Single

❑ Engaged

❑ Married

❑ Divorced

Parents’/Legal Guardians’ Names________________________________________________________ Do you currently live with your parents/legal guardians?

❑ Yes

❑ No

If not, Parent’s Address________________________________________________________________ City__________________________________________ State________________ Zip_______________ Parents’/Legal Guardians’ Phone________________________________________________________ Are you currently enrolled in college?

❑ Yes

❑ No

Number of college years completed:_____________________________________________________ Major:______________________________________________________________________________ Will you be in college while holding membership in the Furnace?

❑ Yes

❑ No

If yes, which college will you be attending?________________________________________________ Approximate college hours per semester:__________________________________________________ Will you have a job while holding membership in the Furnace?

❑ Yes

❑ No

If yes, where will you be working?_______________________________________________________ Approximately how many hours per week will you be working?_______________________________ Which days per week will you be working?

❑ Monday

❑ Tuesday

❑ Wednesday

❑ Thursday

❑ Friday

❑ Saturday

❑ Sunday

Approximately how many hours per day?________________________________________________ Will you be involved in any other regular activities while holding membership in the Furnace?

❑ Yes

❑ No

If yes, what time commitment is involved?_________________________________________________ Do your parents support your membership in the Furnace?

❑ Yes

❑ No

If not, please explain:__________________________________________________________________ ___________________________________________________________________________________ How did you hear about the Furnace?____________________________________________________ ___________________________________________________________________________________


Part 1 General Information (continued

How will you pay for the Furnace?

❑ Personal

❑ Parents

❑ Support

List all current debts, loans, and payments. (including amounts)_______________________________ ___________________________________________________________________________________ If accepted, do you understand that you will be making at least a 1-year commitment to the Furnace? (2 semesters)

❑ Yes

❑ No

According to our current prayer schedule, which 3 prayer meetings do you anticipate attending?

Part 2 Personal Information

❑ Monday PM

❑ Tuesday AM

❑ Wednesday PM

❑ Thursday PM

❑ Friday PM

❑ Saturday PM

Have you smoked within the last six months?

❑ Yes

❑ No

If yes, please explain:__________________________________________________________________ Have you drank alcohol within the last six months?

❑ Yes

❑ No

If yes, please explain:__________________________________________________________________ Do you currently or have you used illegal drugs in the past?

❑ Yes

❑ No

If yes, when was the last time and what kind of drugs?_____________________________________ Have you been committed to Biblical morality in your lifestyle and relationships? ❑ Yes

❑ No

If no, please explain:___________________________________________________________________ Have you had any addictions?

❑ Yes

❑ No

If yes, please give the date/s and explain:_________________________________________________ Have you ever been arrested?

❑ Yes

❑ No

If yes, please give the date/s and explain:_________________________________________________ Have you ever been in jail/prison?

❑ Yes

❑ No

If yes, please give the date/s and explain:_________________________________________________ Have you ever been diagnosed with a physical or a mental illness?

❑ Yes

❑ No

If yes, please give the date/s and explain:_________________________________________________ Are you currently involved in a romantic or a dating relationship?

❑ Yes

❑ No

If yes, please describe:________________________________________________________________ Have you ever struggled with any sort of eating disorder?

❑ Yes

❑ No

If yes, please give the date/s and explain:_________________________________________________ Is there anything else about your history and lifestyle we should know?

❑ Yes

❑ No

___________________________________________________________________________________ ___________________________________________________________________________________

Part 3 References

Please give 3 references that are outside of your family.

Pastoral Reference

Name:________________________________________________________________ Relation:_______________________________________________________________

Phone: (____ )_________________________ Email:_____________________________ Professional Reference

Name:________________________________________________________________ Relation:_______________________________________________________________

Phone: (____ )_________________________ Email:_____________________________ Peer Reference

Name:________________________________________________________________ Relation:_______________________________________________________________

Phone: (____ )_________________________ Email:_____________________________


Part 4 Essay Questions

Type the following questions in essay format(less than 1,000 words) 1.

When and how did you start following Jesus?

2.

Give us a short, brief history of who you are and your life story.

3.

What is your life calling and your startegy to accomplish it?

4.

What leadership experience have you had in church? In what role or capacity? For how long?

5.

What kind of leadership do you operate best under?

6.

Have you ever been a worship leader? Do you desire to be on a worship team? Explain.

7.

What are 3 adjectives that best describe you?

8.

What are three of your greatest strengths? What are three of your greatest weaknesses?

9.

Why do you want to be a part of the Furnace?

10.

What are you hoping to achieve through your time in the Furnace?

I herby acknowledge that I have answered the previous questions honestly and accurately to the best of my ability. Signed__________________________________________ Date________________________________ Please send in the following items (mandatory for acceptance): 1.

The application

2.

Essay

3.

A recent photo of yourself

4.

$30 application fee

Send to: theFurnace, 11025 Voyager Parkway, Colorado Springs, CO 80920 Applications must contain all required components in order to be processed and reviewed. Please direct questions to: (719) 271-0668

theFurnace@newlifechurch.org

www.theFurnace.net


New Life Church Applicant Disclosure and Background Check Authorization Form Department Requesting: theFurnace I understand that New Life Church may seek and obtain investigative reports about me as defined in the Fair Credit Reporting Act (FCRA). These investigative reports may include, but are not limited to consumer credit reports, criminal history records (from local, state and federal agencies), sexual offender’s lists, wants and warrants records, and motor vehicle records. I hereby authorize, without any reservation, the full release of these records from such agencies and hereby release such agencies from any liability resulting from disclosure of this information. In addition, I release and discharge New Life Church from any expenses, losses, damages, and liabilities for the investigative process. Upon request, New Life Church will supply a copy of my reports and my rights under the FCRA. Requests may be directed to: New Life Church, Attention HR Department, 11025 Voyager Parkway, Colorado Springs, CO 80921 or by contacting New Life Church at 1-719-594-6602. I understand that, if reports stated above are not requested, this form will be destroyed. __________________________________________ Signature

_____mm/_____dd/_______yyyy Date

________________________________________________________ PRINT Full Name __________________________________________ PRINT Maiden Name

_____/mo_______yyyy Mo/Yr Married

________________________________________________________ PRINT All Aliases (Last Name Only) _____mm/_____dd/_______yyyy Date of Birth

_____________________________ Place of Birth

______________________________________________________________ Social Security Number __________________________________________ Driver’s License Number

____________ State

____mm/______yyyy Date Moved to Colorado *If you have lived in Colorado for less than 10 years please complete the information on Page 2. Current Local Address: _____________________________________________ Street _____________________________________________ City State Zip _____________________________________________ Home Phone Number (Is this a cell phone? ___Y ___N

Submitted By: New Life Church 11025 Voyager Parkway Colorado Springs, CO 80921


New Life Church Applicant Disclosure and Background Check Authorization Form Department Requesting: theFurnace If you have lived in Colorado for less than 10 years, please fill in the following, beginning with the most recent state you lived in before moving to Colorado and ending with the state you lived in 10 years ago.

To __________________________________ Dates: From _______________________ Zip: ______________________________ State: _______________________________ City: ______________________________ County: ___________________________ Your Last Name during this time: ____________________________________________________ - - - - - - - - - - - - - Dates: From _______________________ To __________________________________ Zip: ______________________________ State: _______________________________ City: ______________________________ County: ___________________________ Your Last Name during this time: ____________________________________________________ - - - - - - - - - - - - - Dates: From _______________________ To __________________________________ Zip: ______________________________ State: _______________________________ City: ______________________________ County: ___________________________ Your Last Name during this time: ____________________________________________________ - - - - - - - - - - - - - Dates: From _______________________ To __________________________________ Zip: ______________________________ State: _______________________________ City: ______________________________ County: ___________________________ Your Last Name during this time: ____________________________________________________ - - - - - - - - - - - - - To __________________________________ Dates: From _______________________ Zip: ______________________________ State: _______________________________ City: ______________________________ County: ___________________________ Your Last Name during this time: ____________________________________________________ - - - - - - - - - - - - - Dates: From _______________________ To __________________________________ Zip: ______________________________ State: _______________________________ City: ______________________________ County: ___________________________ Your Last Name during this time: ____________________________________________________ - - - - - - - - - - - - - -


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