Professional Documents
Culture Documents
ICC App
ICC App
ICC App
IntentionalCollegeCommunityatOakmontSquare
ApplicationforResidency
ResidencyDatesApplyingfor:[]Fall/SpringSemesters201213TodaysDate:___/___/_____
AcademicYear:_______School:__________________________
ApplicantName_____________________________________________________________
Last
First
Middle
EducationalStatus:(FR,SO,JR.,SR.,Grad,etc.)________DateofBirth:___/___/____Gender:M/F
ApplicantsMailingAddress: Street________________________________________________
City__________________________State_______Zip_________
HomePhone:()__________CellPhone:()____________
Email:________________________________________________
NameofParent(s)orGuardian(s):__________________________________________________
AddressandPhone:
Street________________________________________________
City__________________________State_______Zip_________
(ifdifferentfromabove)
Phone(home):()__________Phone(Work):()____________
ChurchRelationship(Baptist,UnitedMethodist,etc.):__________________________________
NameofHomeChurch:__________________________________
Street________________________________________________
City__________________________State_______Zip_________
ChurchPhone:()_____________Pastor:________________
BysigningbelowIherebyaffirmthattheinformationIhaveprovidedisaccurate.Thisisonlythe
applicationanddoesnotguaranteeorreserveaspace.Iunderstandthatprovidingfalseinformation
willresultinthecancellationofmyapplication.
ApplicantSignature:_____________________________________________________________
ForOfficialUseOnly:
SentApplicationReceivedon:_____/_____/______RecordedBy:______________________
Print Form
IntentionalCollegeCommunityatOakmontSquare
ApplicationforResidencyPartII
Pleaseanswerthefollowingquestionscompletelyandhonestly.Yourresponseswillbekept
confidential.Wearenotlookingforarightorwronganswerweareseekingtoknowandunderstand
you,yourtruedesiretolivewithus,andyourdesiretoknowandserveJesusChrist.
Pleaseanswerthesequestionsinyourownwords.Typewrittenresponsesarepreferred.
1. IfyouweretoviewyourrelationshipwithGodasajourney,whereareyouinthatjourney?(I
haventbegun,welldownthepath,offthemainroad,etc.)
2. WhatexperienceshavehelpedyougrowinyourChristianfaith?
3. WhatisyourunderstandingofintentionalChristiancommunity?
4. WhatdoyouexpecttogainbylivingintheIntentionalChristianCommunityatOakmont
Square?
5. Whatdoyouexpecttocontributetothiscommunitybylivinghere?
6. Isthereanythingelseyouwouldliketo/needtoshare?(aboutyourfaith,aboutyourfamily,
aboutanyspecialneedsyouhave,etc.)
References
Pleaselisttwopeople(outsideofyourownfamily)whowecancontactaboutyoubeingapartofthe
IntentionalCollegeCommunityatOakmontSquare.
Reference#1:
Reference#2:
Name:_________________________
Name:________________________
Address:________________________
Address:_______________________
_______________________
_______________________
Phone:_________________________
Phone:_________________________
Relation:__________HowLong_____
Relation:________HowLong______
Ihavereadthisapplicationcompletely.IhavebeenhonestandcompletewiththeinformationthatI
haverecordedonallpartsofthisapplication.Iunderstandthatprovidingfalseinformationonthis
applicationmayresultinmylossofprivilegeattheIntentionalCollegeCommunityatOakmontSquare.
Signed:_______________________________________
Date:____/______/_____
ForOfficialUseOnly:
SentApplicationReceivedon:_____/_____/______RecordedBy:______________________