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Online Application Form 2012-2013 - Kansas City & El Paso
Please complete and return this form to the youTheology office by Wednesday, May 30, 2012 (updated) for Saint Paul School of Theology and Lydia Patterson Institute sites. See below for pastor nomination, adult reference, and parental consent forms. The parental consent form must have your signature and that of your guardian(s) or parent(s). These forms are required for the application process to be complete.

Click here for more information on the application process.
Click here for more about this one-year journey.

Pastor Nomination Form
Adult Reference Form
Parental Consent Form

Dates for 2012-2013
Name of youth

*
Name of Parent/Guardian

*
Date of Birth
*
Class of:
201120122013

Gender
MF

Address
*
Address 2


City

*
State

*
Zip
*
Home Phone

*
Email

*
Cell Phone




Home Church

*
Name of Pastor

*
Home Church Address

*
Church Address 2

Home Church City

*
Home Church State

*
Home Church Zip

*
District and/or Annual Conference

*
Date of Baptism

*
Date of Confirmation

*
Name of Person who has agreed to be your mentor
*
Mentor Phone

*
Mentor Email

*
Mentor Street Address

*
Mentor City

*
Mentor State

*
Mentor Zip

*



Name of Adult Reference

*
Adult Reference Phone

*
Adult Reference Email

*
Adult Reference Address

*
Adult Reference City

*
Adult Reference State

*
Adult Reference Zip

*



Help us get to know you better.


Please answer all of the following questions in 4-5 sentences (or more if you wish)



Why do you want to participate in youTheology?

If you have participated in community outreach or mission, please describe your role.

What role does faith play in your life?

What issue or problem do you see as the major challenge facing the world?

If you had a free day, how would you spend it? What would you do?




I am applying for the program at:

Saint Paul School of Theology, Kansas City, MOLydia Patterson Institute, El Paso, TX


Completed pastor nomination, adult reference, and parental consent forms can be uploaded here. Please note that online upload of these forms is optional; you may also mail or fax them in:

(Click here for mailing address and/or fax number)

Pastor Nomination Form:

Adult Reference Form:

Parental Consent Form:




Verify that you are a real person and not a computer 
Write the characters in the image above (Case sensitive)



 

Commitment to full participation:
By submitting this form, I commit to meeting regularly with a local mentor (a non-related adults at least five years out of high school) throughout the program and to attending and participating fully in all sessions of youTheology, face-to-face and online. Failure to do so may prevent me from completing the youTheology year.

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