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1
Foothills Academy Application
PERSONAL INFORMATION
First Name
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Last Name
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Phone
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Facebook Url
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Age
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Date of Birth
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Gender
Street Address (Home)
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City (Home)
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State (Home)
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Zip Code (Home)
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EDUCATION INFORMATION
Highest Level of Education Completed
CHURCH & MINISTRY INFORMATION
Church Name
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Church Website URL
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Church Phone
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Senior Pastor Name
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How many years have you attended?
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Have you been baptized?
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Are you currently serving?
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Describe any ministry experience you have:
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Do you have a mentor?
Mentor's Name
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Would you like to be mentored?
Are you mentoring?
Mentee's Name
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Would you like to be a mentor?
APPLICATION QUESTIONS
What do you hope to gain from this Academy?
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EMPLOYMENT HISTORY
Are you currently employed?
Current Employer
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Current Position
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Dated Hired
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ACKNOWLEDGEMENT

By printing my full name, I certify that the preceding information is true, release it to the Foothills Academy team to review/use at their discretion. 

Full Legal Name
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