Name High School

Address

Phone Email GPA

Please List the Colleges/Universities/Trade School to which you have been accepted or are currently attending.

College Yrs. Completed GPA

Academic Year Enrolled Area of Study

Please write a short essay answering these questions: Describe how God and the church have influenced your life decisions. How has God influenced your career choice and how will this impact your influence on others?

Please answer the following questions, providing as much detail as possible.

What is your current involvement at Christ Lutheran Church, other churches or faith-based organizations? What has been your involvement in church and religious activities during your life? Include service in ministry groups, committees, and special projects.

What academic awards have you received in high school or college?

What is/has been your extracurricular involvement in high school and/or college, and the community? Please include clubs, service organizations, and community groups.

If you have worked for pay outside your home, please complete the following:

Most recent employer

Address

Position and duties:

Please list three personal references other than parents, grandparents, or siblings.

Name Relationship Address Phone

Name Relationship Address Phone

Name Relationship Address Phone

You may drop off up to 3 letters of recommendation at the church office.

By submitting this form, I assure that the above information is accurate to the best of my knowledge.