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REVIVE > Apply > Application Form 2023 (1st Year)

Application Form 2023 (1st Year)

* Denotes a required field.

Step 1 of 5

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  • Section 1: Personal Information

  • About You

  • Address

  • Demographic

  • MM/YYYY
  • Health

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  • Section 2: Background

  • Spiritual Information

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  • Section 3: REVIVE

  • (check all that apply)
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  • Section 4: Recommendations

  • First Personal Recommendation (not a relative)

  • Second Personal Recommendation (not a relative)

  • Pastoral Recommendation (or Small Group Leader)

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  • Section 5: Payment

  • Finances

  • Tuition is $2,495. Will you be able to pay tuition?
  • Billing Information

  • Payment Information

  • Agreement

  • I understand that any falsification of information on this application is grounds for dismissal at any time. I hereby certify that the information I have supplied herein is true.
  • This field is for validation purposes and should be left unchanged.
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