The Imprint Institute IMPRINT Application

Thank you for your interest and commitment to The Imprint Institute. Please complete the application below.

Personal Information
Name*
FirstLast
Gender*
- Male
- Female
Address*
Street AddressCity

StateZip Code
Phone Number*
Email*
Date of Birth*
What is your current occupation?*
Marital Status*
- Married
- Single
- Engaged
- Divorced
Anniversary*
Spouse's Name*
Spouse's Email*
Is your spouse planning on doing the program as well?*
- Yes
- No
- Not Sure Yet

What are some current world views prevalent in society that contradict Scripture, and how do you personally reconcile these?*
In light of your current theological education, where do you stand on the following topics?

Briefly explain your personal views on each of the following 9 topics.
Drinking*
Smoking*
Illegal drugs*
Premarital Sex*
Abuse (physical, sexual, emotional)*
Suffering*
Homosexuality*
Abortion*
Pornography*
When is it difficult for you to submit to others, as it pertains to leadership and instruction?*
Why do you want to be part of The Imprint Institute discipleship program?*
What do you see yourself doing after this program?*
Character reference*
Please provide the full name, email and phone number of someone who knows you well and can provide a personal/character reference. This could be a pastor, leader or mentor. No family members please.

Full name Email Phone number

IMPRINT Application - The Imprint Institute