Night Classes Only Application

Thank you for your interest in Twin Rivers School of Leadership. Before you begin, make sure you have:

A current photo of yourself. Please email this to rdeveney@twinrivers.church
10-15 minutes to fill out the form

When filling out the form, make sure each section is filled out completely.

Personal Information

Full Name

First Name

Last Name

Street Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Date of Birth

YYYY

Cell Phone #

(###)

###

####

Gender

Marital Status

Spouse's Name

First Name

Last Name

Emergency Contacts

Contact Name

First Name

Last Name

Contact Phone

(###)

###

####

Student Educational History

Highest Level of Education

Health

Please describe any health issues or disabilities that require special attention

Do you require handicap access

Church Information

What church do you currently attend?

How long have you attended the church above?

Church Address

Church Website

http://

Name of Lead Pastor

First Name

Last Name

Lead Pastors Email

Have you completed the churches membership process?

Spiritual

When were you born again?

Month/Year

Please briefly describe your salvation story

Please describe your prayer routine

How often do you read the bible?

Every Day

3-4 Times a week

1-2 Times a week

A couple times a month

Never

What team(s) do you currently serve on?

Employment

Place of current employment

Position/ Title

How long have you worked here?