Student IMPACT Team
A P P L I C A T I O N

Basic Information

Name: ____________________________________________________________________

Address: ___________________________________________________________________

Phone (s): ________________________________   Email: __________________________

Parent/Guardian’s Name(s) : ___________________________________________________

Grade: _________   Sex/Gender:  Male  Female    School: ____________________________

Just for Kicks

Favorite Thing to do for fun:  __________________________________________________

Favorite type of music:  :  _____________________________________________________

Favorite Movie:  :  ___________________________________________________________

Your Relationship with God:

1.  Please share when and how you became a Christian:

2.  Please share what you are doing to continue to grow in your faith in Christ:

3.  Why do you want to be on the Student IMPACT Team?

4.  How would your “un-churched” friends describe your relationship with God?

5.  How would your “churched” friends describe your relationship with God?

6.  How would your family describe your relationship with God?