Vineyard Heroic Leadership Institute

Application- 2019-2020 - Application deadline- August 1, 2019
Classes begin September 2019


Date *
Name *
Address *
Date of Birth *
Date of Birth
Cell Phone
Cell Phone
Marital Status *
If part of youth group
Which year are you applying for? *
HLI sites are not guaranteed. We invite you to select your top choice for placement but will confirm your location after your acceptance to the program has been determined. (Choose one)
Choose your second choice in location for an HLI site. (Choose One)
Please check which area of "focus" you would like to do? (2-4 hrs/week as a specialty) Please choose one.
Please list work experience as well.
Parent's Name
Parent's Name
Parent's Address
Parent's Address
Parent's Phone
Parent's Phone
Have you ever been found responsible for a disciplinary violation at an educational institution you have attended from 9th grade (or the international equivalent) forward that resulted in your suspension, removal, dismissal, or expulsion from the institution?
Have you ever been convicted of a misdemeanor, felony, or other crime?
Will you have your own vehicle available for local transportation during the school year?
If no, are you prepared financially to assist another student with gas & upkeep of their vehicle in order to carpool?
Once a student has graduated from the Heroic Leadership Institute we ask that they commit to giving back to the Kingdom in whatever ways God is asking them to. It can be serving at your local church, pursuing an internship, getting involved in the work of justice, or sharing the good news with whomever God puts in your path, etc. If you were to become an HLI graduate will you commit to that? *


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