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First Name
Last Name
Email
Phone Number
Birthdate
Month
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February
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Date
1
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Year
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2025
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Parent/Guardian Names
Parent/Guardian Phone
Program/School you wish to apply
Off the Wall
GCM ACTS Discipleship
Ethnos 360 Bible Institute
Torchbearers International
Grace College
Other
Please provide website of unlisted program for consideration
Pastoral Reference(name and email):
Non-family Adult Reference(name and email):
Please respond to the following questions.
How are you involved at Peninsula Grace? (1 paragraph minimum)
What is your purpose in attending your chosen program? (1 paragraph minimum)
In what specific areas do you hope Jesus will grow you in this experience? (1 paragraph minimum)
Describe yourself in terms of interests, passions, hobbies, and other activities you find important in your life. (1-2 paragraphs)
Describe your walk with Jesus presently and in the past. How have you seen God work in your life? (2 paragraph minimum)
What is the cost of tuition per program or semester at your school of choice? What is room/board(if applicable)? What is the cost of travel?
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