APPLICATION Student Application If you are human, leave this field blank. Full Legal Name * Name you are called by * Relationship status * Social media handle * Email address * Phone number * Date * T-shirt size * T-shirt size X Small Small Medium Large X Large 2X Large 3X Large Ring size * Ring size 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 13.5 Address * City * State * Zip * Birthday (mm/dd/yy) * How did you hear about RDS? * Father's name * Phone number * Occupation * Accepted Christ * Accepted Christ Yes No Address * Mother's name * Phone number * Accepted Christ * Accepted Christ Yes No Address * Guardian's name Phone number Accepted Christ Accepted Christ Yes No Address Parent Info * Parent Info Married Separated Divorced Mother's Info * Mother's Info Alive Deceased Father's Info * Father's Info Alive Deceased Who do you currently live with? * Who do you currently live with? Both parents Mother Father Other If other, please specify How many siblings do you have? * Sibling names (list from oldest to youngest) * Describe your family life * Do you have health insurance? * If so, who is your provider? Emergency contact * Emergency contact phone number * Physician's name Physician's phone number How healthy are you? (1 being unhealthy, 10 being very healthy) * How healthy are you? (1 being unhealthy, 10 being very healthy) 1 2 3 4 5 6 7 8 9 10 Are you currently receiving medical treatment? * Describe any physical problems or allergies that require medication or physical care List all physical limitations/disabilities (including physical, mental, or learning) Do you exercise? If so, how much per week? If not, why not? * Do you presently attend church? * Do you presently attend church? Yes No Name of church How long have you attended this church? How many times a week do you attend this church? Are you a member of this church? Church denomination Name of lead pastor Name of youth pastor Church address Church phone number Did your family attend church together Were your parents a good spiritual role model for you? Have you ever been baptized in water? * Have you ever been baptized in water? Yes No When did you first accept Christ? * When were you first born again? (mm/dd/yy) * Do you feel a possible call to ministry? * Do you feel a possible call to ministry? Yes No List the different ministries you have been involved in * Have you ever had an Acts 2:4 experience? (not required for acceptance) * High school (last completed year) * High school (last completed year) Did not attend high school 1 2 3 4 Name of high school School phone number City/state Year graduated GPA College (last completed year) * College (last completed year) Did not attend college 1 2 3 4 Name of college Job status * Job status Employed Unemployed Job title Employer Length of employment How do you plan to pay for tuition? * Person responsible for paying your tuition * Address of person responsible * Are you able to pay tuition fully at start of year? * Are you able to pay tuition fully at start of year? Yes No Do you have debt? * Do you have debt? Yes No Will debt prevent you from paying tuition? Will debt prevent you from paying tuition? Yes No Are you responsible for the care/finances of children? * Are you responsible for the care/finances of children? Yes No Briefly tell us your testimony * What is your definition of a servant? * Define your idea of ministry * What are some qualities you feel are necessary for a spiritual leader? * What do you plan on doing after you attend RDS? * Submit
