Application Form 2023 (1st Year)

Section 2: Background
Spiritual Information
Briefly describe how you came to know the Lord.*
How would you describe your current relationship with the Lord.*
Briefly list types of Christian service you have done (e.g. teaching a class, leading worship, missions, etc).*
Do you attend a church or small group regularly?*
- Yes
- No
How long have you attended?*
Home Church or Small Group*
Pastor or Group Leader's Name*

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Section 3: REVIVE
How did you hear about REVIVE?*
Why do you want to attend REVIVE?
(check all that apply)
- Go deeper with God
- More training in my spiritual gifts
- Grow in my identity in Christ
- Learn to minister outside of the church
- Be part of a community
- Other?
Please use the space below to briefly share more about why REVIVE seems right for you.*

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Section 5: Payment
Finances
Will you be prepared to pay REVIVE tuition? (A nine-month payment plan is available)*
Tuition is $2,495. Will you be able to pay tuition?
- Yes
- No
Billing Information
Full Name*
Email Address*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Payment Information
REVIVE 1st Year Application Fee (not part of Tuition)*
Price:
Credit Card
Card Details
Cardholder Name
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.
Do you agree?*
- By checking this box you agree to the above statement (Agreement)
Name
This field is for validation purposes and should be left unchanged.

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Section 1: Personal Information