Home
About Us
Health Lifestyle Center
Our School
Store
Reach Us
Donate

Application For Enrollment

Home / Application For Enrollment

- 10-MONTH STUDENT
- INTERN
- VOLUNTEER
1. Name:*
Phone:*
2. Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Birth date*
Date Format: MM slash DD slash YYYY
Age:*
Birthplace:*
4. Sex:*
- Male
- Female
Citizenship:*
Height:*
Weight:*
5. In case of emergency, Contact:
Name:*
Relationship:*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
6. Dependents:
Name:*
Age:*
Name*
Age:*
Name*
Age:*
Name*
Age:*
7. Experience in teaching/public speaking or missionary work?*
Religious Affiliation*
Church Name:*
City:*
State:*
8. How long have you been a Christian?*
Religious Activities*
Is your health good enough to carry a full load of work and study?*
9. Do you have any mental and medical conditions?*
10. Are you taking any medications? List if any.*
11. Do you require any Special Dietary need? Other than a Vegan meal plan i.e. No Salt or No Sweeteners. Food Allergies, Food Sensitivities? (No Free Oil etc)*
12. Do you currently or have ever smoked. used alcohol or recreational drugs? If not currently when did you quit?*
13. Do you have any personal habits that may interface with a roommates sleep?*
14. Do you have any current financial obligations?*
- Yes
- No
Explain*
If accepted, would you be bringing a car?*
Modal/Make*
15. How did you learn about our school?*
16. Educational background:*
17. Are you Presently Employed?/Employment background:*
18. Agriculture and Vocational Skills:*
19. How do you plan to pay?*
- Total in cash
- Prior to arrival
- Upon arrival
- Special payment arrangements made prior to arrival
Give three (3) references that are not a relative who have known you for at least one year, including your Pastor or Elder.
Name*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Building the Ark

Quick Links

About Us
Health Lifestyle Center
Our School
Store
Reach Us

Reach Us

3159 Cottonwood Creek Rd. Chewelah, WA 99109P.O. Box 332, Chewelah, WA 99109

life@thearkoutpost.orgCall Us: (833)284-3275