CSR Student Application

Please fill in all applicable fields. Upon submission we will contact you with further information.

Name(Required)

First Last

Address(Required)

Street Address City Province Postal Code

Email(Required)

Phone(Required)

How long have you attended Christcity?(Required)

If you currently attend another Church please specify.

Do you have a current occupation or employer?(Required)

If yes, please specify

In a brief paragraph, please outline your spiritual journey. How you came to know Christ as Saviour and what you are currently doing to grow in your relationship with Him.(Required)

In a brief paragraph, please tell us why you would like to enrol in CSR(Required)

References

Please provide the names of two individuals, excluding relatives, who could provide a reference for you.

Reference #1 Name

First Last

Reference #1 Phone Number

Nature of Relationship:

Is this person aware they are listed as a reference?

Yes

Reference #2 Name

First Last

Reference #2 Phone

Nature of Relationship:

Is this person aware they are listed as a reference?

Yes