Hope Corps Application Form

Personal Information

Name*

First Middle Last

Name you prefer to go by if different than first name

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone #*

Mobile Phone #

Email*

Enter Email Confirm Email

Social Security Number*

Date of Birth*

Picture of Applicant*

Please upload a HEAD SHOT picture of your self.

Marital Status*

Gender*

Male
Female

Hispanic/Latino*

Yes
No

Ethnic Group*

Citizen*

US Citizen
Resident Alien
Non-Citizen

Previous Education*

Personal History

Pastor's Name*

Church Name*

Pastor’s Telephone Number*

Pastor's Email*

Have you received the baptism of the Holy Ghost evidenced by speaking with other tongues?*

Yes
No

Have you been baptized in the name of Jesus Christ for the remission of sins?*

Yes
No

Have you ever been convicted of a sex related crime (i.e. assault, rape, possession of child pornography)?*

Yes
No

Please explain*

Do you currently or have you ever had an issue with mental or behavioral problems?*

Yes
No

Please explain*

Do you have a history of medical issues which would prevent you from participating in the program?*

Yes
No

Please explain*

Please provide a brief description of yourself. ( no longer visible on form)*

How did you hear about Hope Corps?*

Hope Corps Alumni

Please enter the name of the alumnus who referred you to Hope Corps.

First Last

What are your reasons for joining Hope Corps? (no longer visible on form)*

When you join Hope Corps you are required to complete the courses in the Apostolic Foundations Certificate. I want to complete the courses for the Apostolic Foundations Certificate from Wilson's University for:

Graded Credit - You must be able to provide High School Transcript or official GED document
Without receiving credits - Choose this if you do NOT a High School Transcript or official GED document

Commitment, Disclaimer and Signature

I hereby certify that the information contained in this application is accurate and complete to the best of my knowledge. If admitted to Wilson University, I commit myself to abide by all rules and regulations of the University, whether academic or disciplinary, to conduct myself at all times in keeping with the purpose of the university, and to apply myself to study and to fulfill the course requirements to the best of my ability. I understand that all admissions materials or information submitted becomes the property of the college and are not returnable.

Additionally, I agree to maintain and uphold the standards held by Hope Corps and its affiliated partners. I commit to one hour of daily prayer and Bible reading and will submit to the authority of my pastor and other ministry staff.

Student Name*

Student Name

Date*

Signature*

PLEASE BE ADVISED that this application will not be processed until Hope Corps receives your pastor's approval form. The pastor's approval form is sent automatically to the e-mail you provided for your pastor in the pastor's e-mail field on this application.

Hope Corps Application Fee

Bypass Payment Code

If you already paid your Hope Corps Fee in the past year you can obtain a code from [email protected] to use here to bypass payment

Hope Corps Application Fee

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

APPLICATION - Hope Corps Application

Personal Information

Personal History

Commitment, Disclaimer and Signature