ACCELERATE APPLICATION 

CONTACT INFORMATION
Name *
Name
Present Address *
Present Address
Phone Number *
Phone Number
Alternate Phone Number
Alternate Phone Number
Birthdate *
Birthdate
FAMILY BACKGROUND
Parent/Guardian Information *
If parent/guardian information does not apply to your situation, place n/a in each of the blanks below. If it does apply to you, fill out the information completely.
Name of Father/Guardian *
Name of Father/Guardian
Father/Guardian Address *
Father/Guardian Address
Has he accepted Christ? *
Name of Mother/Guardian *
Name of Mother/Guardian
Mother/Guardian Address *
Mother/Guardian Address
Has she accepted Christ? *
PERSONAL INFORMATION
How would you describe your health? *
Have you ever used illegal drugs? *
Do you drink alcoholic beverages? *
Do you smoke cigarettes? *
EDUCATION INFORMATION
List most recent first. For each school, include school name, address, dates attended, graduation date, and degree earned.
EMPLOYMENT
Are you currently employed? *
Date Hired *
Date Hired
Date Hired *
Date Hired
Reason For Leaving *
Date You Left *
Date You Left
FINANCIAL REQUIREMENTS
Which financial plan will you choose? *
Do you have health insurance? *
Required at entrance
Do you have vehicle insurance? *
Required at entrance
Will you have any debts at the start of the internship? *
CHURCH BACKGROUND
Senior Pastor's name *
Senior Pastor's name
When did you accept Christ? *
When did you accept Christ?
Have you ever been baptized in water? *
Have you ever had an Acts 2:4 experience?
Have you been filled with the Holy Spirit with the evidence of speaking in tongues?
PLEASE ANSWER THE FOLLOWING QUESTIONS TO THE BEST OF YOUR ABILITY
What do you think you would like to do after the internship?
Minimum of 200 words
CONCLUSION
By typing your name, you are stating, "I have honestly completed this application form and have answered the questions to the best of my ability."
Today's date *
Today's date
ONCE YOUR APPLICATION IS RECEIVED, YOU WILL BE CONTACTED WITH THE NEXT STEPS IN YOUR APPLICATION PROCESS.