Online Application

Date *

Date

YYYY

Name *

Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

Date of Birth

YYYY

Email Address *

Phone

(###)

###

####

Cell Phone

(###)

###

####

Passport Number

Marital Status *

Married

Single

If Married, is your spouse supportive of you joining HLI?

Local Church *

Senior Pastor

Youth Pastor

If part of youth group

Which year are you applying for? *

2018-2019

2019-2020

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.

Duluth, MN

Kansas City, KS

Choose your second choice in location for an HLI site

Duluth, MN

Kansas City, KS

Please check which area of "focus" you would like to do? (2-4 hrs/week as a specialty)

Church Planting/Missions

Worship and the Arts

Non-Profit Leadership/Justice

Multi-media

Student Ministries

Education Information: please list high school(s), year of graduation or GED, college experience (if applicable), and extracurricular activities (church involvement, community/volunteer activities, any short-term missions, music/theatre, athletics, etc.). *

Please list work experience as well.

Ministry Training: please indicate any you have received, church/trainer, and date completed

How long have you been involved at your local church and in what capacities?

Parent's Name

First Name

Last Name

Parent's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent's Email

Parent's Phone

(###)

###

####

If you are still supported by your parents, how do your parents feel about you attending HLI?

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?

Yes

Have you ever been convicted of a misdemeanor, felony, or other crime?

Yes

If you answered "yes" to either or both questions, please give the approximate date of each incident & explain the circumstances.

What else would you like us to know about you?

What is your favorite Movie?

What is your favorite snack food?

What is your favorite worship song?

What would you typically do on a Saturday night?

Financial Status: How do you plan to pay for you tuition? Will you have the total amount by the required dates?

Will you have your own vehicle available for local transportation during the school year?

Yes

If no, are you prepared financially to assist another student with gas & upkeep of their vehicle in order to carpool?

Yes

List any debts, loans, payments that you will have during the school

How do you intend to make those payments during the school year?

Application Essay: Please type a 3-5 paragraph response to the following questions: 1. Why do you want to join the Heroic Leadership Institute? 2. How did you begin your journey with God? Where are you at right now?

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? *

Yes

Vineyard Heroic Leadership Institute

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