Student Application

STUDENT APPLICATION

I am applying for: *

Starting Date *

Personal Info

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Birthplace *

Citizenship *

Marriage Status *

Phone Number *

Email *

Age *

Birthdate *

Weight *

Height *

Gender *

Emergency Contact

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Relationship *

Phone Number *

Email *

Religious Info

Church Affiliation *

Home Church *

How long have you been a member? *

Christian Experience

Describe your Christian experience, including your home background, conversion experience, and your growth in Christ. *

Spirit of Prophecy

Are you familiar with the messenger of prophecy to the Seventh-Day Adventist Church? *

How do you regard her writings? *

How did you hear about Eden Valley? *

Training Interest

Why are you interested in training at Eden Valley? How did the Lord lead you to this decision? *

Goals

What are some of your long-term goals? *

Health

Do you have an illness or disease that would prevent you from taking on a full work/class load? *

If yes, then please explain: *

Education

School

High School *

College *

Other *

Course of Study

Course of Study *

Did you graduate?

Select One *

Dates Attended

from *

to *

Employment

Employer

Employer #1 *

Employer #2 *

Employer #3 *

Employer #4 *

Type of work

Type of work *

Dates employed

From *

To *

Reasons for leaving

Reason for leaving *

Language Skills

What languages do you speak fluently? *

How well do you read, write, and understand English? *

Experience, Skills & Trades

Please list any significant experience, skills or trades that you possess. *

References

Pastor

Name *

First

Last

Email *

Phone Number *

Employer

Name *

First

Last

Email *

Phone Number *

Friend

Name *

First

Last

Email *

Phone Number *

Submit