Application Date *

School Year Applying For

Name

First

Middle

Last

Birthdate

Age

Address *

City *

State *

zip code *

Phone (area code first) *

Email *

Name of Parent/Guardian

Parents Phone

Parent/Guardian Email

Parents Address

City

State

zip code

High School *

Graduation Date

Church you attend?

Pastor's Name

EMMERGENCY CONTACT: NAME *

PHONE (area code first) *

Check all extra-curricular activities that apply to you: *

Sports

Academic Clubs

First Aid Certification

Singing Clubs/Groups

School Clubs (non-academic)

Lifeguard Certification

Play Musical Instrument

List any skills and/or talents in addition to the ones above that you have:

Describe any previous Christian work/volunteer experience *

Why do you want to Attend The Bridge Gospel Academy? *

This is a Christian Discipleship School, with this understanding please write a brief testimony. *

How much of the Bible have you read? *

What is your regular Bible study practice? *

What is your regular practice concerning prayer? *

Have you ever been convicted of a crime, including sex-related or child abuse offenses? If yes, please explain *

REFERENCES

Provide information below for two adults (not relatives) as references. One needs to be your pastor or Professor (if a college intern). (If you are related to your pastor please provide a reference from an associate pastor or church elder/deacon)

Name of Pastor/Teacher *

Address *

City *

State *

Zip *

Name of Reference *

Address *

City

State *

Zip *

I Agree to the following

I AGREE

• This is a Christian school and as such will be taught Christian doctrine, philosophy, and teachings.
• The professors and instructors will come from varying backgrounds and I will respectfully listen and participate in their instruction.
• I will follow/adhere to all codes of conduct, rules, and regulations, including biblical instructions.

Are you willing to work at camp the summer prior to classes? (June 2023-August 2023)

Additional Comments

My signature

(Please type in your full name)

Parent/Guardian Signature if under 18

(Please type in your name)

Text

Captcha