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Faith Alive! Registration Form

Faith Alive! logo

Open to All Faith Communities

A two-year, six session study and reflection on how faith impacts and informs daily living and defines ministry and service.

Application for Admission Due Date: August 15, 2017

This application covers the entire series of six Faith Alive! weekend sessions held at the Mt. Morris Retreat Center near Wautoma, WI:

  • September 15-17, 2017
  • January 12-14, 2018
  • April 27-29, 2018
  • September 14-16, 2018
  • January 11-13, 2019
  • April 26-28, 2019

Applicants must commit to all six sessions.

Fees

Room, meals, tuition and book fee is $225 per session. The $225 for the first session (which may be paid in installments) must be paid prior to that session. Limited scholarship funds may be available (contact Gail Burgess for more information). Each remaining session is to be paid two weeks before that session.

Include in Your Application:

  1. Check payable to Wisconsin Annual Conference UMC.
  2. Letter of recommendation from your faith leader.

Mail These Completed Application Items to:

Faith Alive!
Gail Burgess
6510 203rd Avenue
Bristol, WI 53104

Click the 'NEXT' page button below to begin!

 

Registrant Information

Please complete the ENTIRE form below.

Name*
You must provide your first, middle and last name!

First, middle and last name.

Age*
Please provide a valid number between 18-99!

Gender*
Please select either male or female!

Name Preferred for Nametag*

Provide the name you'd prefer to have on your nametag.

Address*
Please provide your full home address!

Records the full home address of the registrant.

City*
You can only use letters when providing a city name!

Registrant's home city.

State*
Please select the state in which you reside.

Listing of all U.S. states.

Zip Code*
Please enter your home address zip code!

Registrant's home zip code.

Home Phone*
Please provide your home phone number in the following format: 555-123-4567.

Registrant's home phone.

Cell Phone*
Please provide your cell phone number in the following format: 555-123-4567.

Registrant's cell phone.

Email Address*
Please provide a valid email address!

Registrant's email address.

Emergency Contact Name*
Please provide an emergency contact name!

Registrant's emergency contact name.

Emergency Contact Phone Number*
Please provide an emergency contact phone number (using the format 555-123-4567)!

Registrant's emergency contact phone number.

 

Faith Community Information

Note: Your mentor might be your faith community leader, a friend from your faith community, a prayer partner, a small group study leader, etc.) We will be sending a general letter after each session to all Faith Leaders and Mentors to let them know what we have been discussing. If you do not currently have a mentor, we will help you in identifying/selecting someone.

Faith Leader Name

Faith Leader Email Address

Mentor Name

Mentor Email Address

Why are you interested in applying to Faith Alive?*
Please be sure to provide some details regarding WHY you're applying to Faith Alive!

 

Brief Biographical Background

We are hoping to gather a group diverse in age, ethnicity, geography, gender, etc. We want to know how best to serve you--please describe yourself to us.

Describe your work and community experience. What has been your greatest learning about yourself in each of these settings/experiences?*
Please provide an appropriate response!

Regarding your service within your faith community, briefly describe where you are today in service and/or lay leadership and how your two-year course of study with Faith Alive! could impact your future service.*
Please provide an appropriate response!

Include high school, college, graduate school, pertinent training and other workshops.*
Please provide an appropriate response!

Include special skills, talents and experiences.*
Please provide an appropriate response!

Let us know if you have any special dietary or accessibility needs.

Scholarship Information. Faith Alive! has partial scholarships for those with financial need. You can also ask your regional office or faith community for financial support. Complete all elements that apply below!

I request a Faith Alive! scholarship in the amount of $$$.
Please enter a dollar value!

My scholarship request should begin with session #2, 3, 4, 5 or 6 (no scholarships are available for session #1)
Invalid Input

Total I am able to pay for the remaining five sessions.
Please provide a dollar amount.

I would like to donate an amount to the Faith Alive! Scholarship Program
Please provide a dollar amount!

Amount my local church can provide as a scholarship.
Please provide a dollar amount!

Check if true...
Invalid Input

 

Form Submission Wrap-Up

That's it! Before clicking the SUBMIT button below, be aware that you'll need to print this application (once you receive it in your email inbox), sign the printout and submit it along with a letter of recommendation from your faith leader and the first session's $225 fee.

Be sure to check the following boxes to further acknowledge your understanding of the Faith Alive! registration process:

I understand this application is for the full two-year program and includes six weekend sessions and some additional homework studies before and between sessions.*

You must check this before submitting your registration!

I understand that photographs may be taken during Faith Alive! I consent to use of my image in print or electronic forms for promotional purposes.*

You must check this before submitting your registration!

Provide any additional information you feel is relevant to this application.

Click the "Send" button below to complete this registration form!