Name
*
First Name
Last Name
Email Address
*
Phone
*
(###)
###
####
Sex
*
Male
Female
Please select which most accurately describes your ethnicity..
*
African American
American Indian or Alaska Native
Asian
Caucasian
Hispanic or Latino
Native Hawaiian or Pacific Islander
Date of Birth
MM
DD
YYYY
Current Age
*
Marital Status
*
Single
Married
Married with children
Divorced
Mailing Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Number of Children
*
None
One
Two
Three
Four +
How regularly do you attend?
*
How long have you been at this church?
*
Are you a member of this church?
*
How did you hear about CFWLA?
Educational Background
*
Vocation Industry/Field
*
Current Employer
*
Title at work
*
Length of Current Employment
*
Main Responsibilities at Work
*
Tell us briefly how you became a Christian.
*
What experience(s), practice(s), and/or person(s) have most significantly influenced your Spiritual growth?
*
Explain the gospel in your own words.
*
What is the greatest trial, disappointment or struggle that you have faced in your life, and how did you respond?
*
What have been the most difficult issues regarding faith and work integration in your life?
*
What in your opinion are the pressing issues facing leaders in your sector or field of interest? How well are today's leaders addressing these issues?
*
Why are you interested in the Framework Fellows Program? What aspect of the Framework Fellows Program are you most excited about (theological education, spiritual formation, worldview understanding, vocational development)?
*
What drew you to LA? Or if you grew up in the area, why did you stay In Los Angeles?
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What do you see yourself doing in 5-10 years, and what are some of your overall life goals?
*
List three books (other than the Bible) that have been most influential in your Christian growth?
*
List any church or ministry experiences with which you have been involved within the last five years. Please include years in parenthesis.
*
Comments (Optional)
(Anything else you feel we should know about to help us evaluate your eligibility for this program.)
Reference 1 - Name
*
(No immediate relatives; Non-Pacific Crossroads member applicants must submit a current church pastor, staff, or ministry leader as one of their two references.)
First Name
Last Name
Reference 1 - Email
*
Reference 1 - Relationship to Applicant
*
Reference 1 - Employer or Institution
*
Reference 2 - Name
*
(No immediate relatives; Non-Pacific Crossroads member applicants must submit a current church pastor, staff, or ministry leader as one of their two references.)
First Name
Last Name
Reference 2 - Email
*
Reference 2 - Relationship to Applicant
*
Reference 2 - Employer or Institution
*
