Full Name
Present Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Home Phone
Cell Phone
Email
Permanent Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Home Phone
Brith Date
Age
Marital Status
Single
Married
Divorced
If married, how long?
(Please submit a second application
for spouse if both individuals are applying.)
Social Security Number
Year of High School Graduation
T-Shirt
Size
X-Small
Small
Medium
Large
X-Large
XX-Large
How did you hear about focus.one?
Name of Father or Guardian?
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Yes
No
Name of Mother or Guardian?
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Yes
No
How would you describe
your health?
Excellent
Good
Fair
Poor
List any physical limitations
List any medications you are currently using
Have you ever used
illegal drugs?
Yes
No
If yes, date of last use
Yes
No
If yes, date of last use
Do you drink alcoholic
beverages?
Yes
No
If yes, date of last use
Are you currently
employed?
Yes
No
Present Employer
Position
Date Hired
Past Employer
Position
Date Hired
Worked until
Reason for leaving
Quit
Laid off
Fired
How do you plan to pay for your tuition?
Will
you have the total amount by the required date?
Yes
No
If no, please explain
Do you have your own vehicle (required upon entrance)?
Yes
No
Do
you have health insurance (required upon entrance)?
Yes
No
List
any depts, loans, or payments that you presently owe, including the
amounts due for each
Will
your debts be paid off by the start of focus.one?
Yes
No
If no, how will you make payments?
Your Home Church
Denomination
Church Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Name of Lead Pastor
Name of Youth Pastor
How long have you attended this church?
List the different ministries you are presently
involved in
Are
you a member of this church?
Yes
No
What date did you accept Christ?
Where?
Have you ever been baptized in water?
Yes
No
Have
you ever had an Acts2:4 experience? (not required for acceptance)
Yes
No
How many times a week do you attend church?
How do your parents/guardians feel about you coming
to focus.one?
References
(Name, relation, and phone number.)
1.
2.
3.
PLEASE ANSWER THE FOLLOWING TO THE BEST
OF YOUR ABILITY.
1. What is your definition of a servant?
2. Why do you want to come to focus.one?
3. What do you plan to do after focus.one?
4. What are some necesarry qualities you
feel you must have to be a spiritual leader?
5. If accepted into focus.one, are
you willing to make a ten-month commitment?
Yes
No
6. Are you willing to share a room?
Yes
No