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First Year Application
First Year Application
Fill out the application below and we will be in touch soon to set up an interview.
First Name
Last Name
Birthday
Email Address
Phone Number
Address 1
Address 2
Country
City
State
Zip/Postal Code
Personal Info
Gender
Male
Female
Marital Status
Single
Married
Divorced
Widowed
Spouse's Name
Do You Have Children?
Yes
No
If yes, how many & what ages?
Do You Attend Church Regularly?
Yes
No
How Long Have You Been Attending There?
Home Church Address
Country
City
State
Zip/Postal Code
Have You Recently Left Another Church?
Yes
No
Was It A Good Parting Orr Are There Unresolved Issues?
When Did You Accept Christ As Your Personal Savior?
Have You Been Baptized in the Holy Spirit According to Acts 1:8 & 2:4?
Yes
No
Health
Please describe any physical or emotional conditions, and state any special attention, treatment, or medication required:
Education
Did You Graduate From High School?
Yes
No
Did You Attend College Or University?
Yes
No
What Was Your Major?
Experiences
Answering “yes” to the following does not automatically disqualify the applicant from acceptance.
Have You Used Tobacco In The Last 6 Months?
Yes
No
Have You Been Involved With Pornography In The Last 12 Months?
Yes
No
If Yes, When Was The Last Time And What Is Your Plan For Staying Pure?
Have You Been Involved In Homosexuality In The Last 12 Months?
Yes
No
If Yes, When Was The Last Time And What Is Your Plan For Staying Pure?
Have You Been Arrested In The Last Year?
Yes
No
Were You Convicted?
Yes
No
If Yes, Please Explain:
Have You Been Involved In The Occult, Witchcraft, Or Cults In The Past Year?
Yes
No
If Yes, Please Explain:
Have You Used Illegal Drugs In The Past 12 Months?
Yes
No
If Yes, Please Explain:
Have You Been Sexually Active In The Last Year?
Yes
No
If You Are Unmarried And Answered Yes, Please Explain:
Employment
Occupation
Present Employer:
Address
Country
City
State
Zip/Postal Code
Phone Number
Finances
Are You Able To Pay The Tuition?
Yes
No
If No, Please Explain:
Purpose
Why Do You Want To Attend CSR 1st Year?
What Do You Hope To Gain From CSR 1st Year?
Send
Application Fee
To pay the application fee, give $25 to the "Columbus School Of Revival" fund.