Name* First Last Email* Enter Email Confirm Email ID Number*Cell Phone NumberDate of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920ComplexAgapeCornerstoneJohnMarkMary MarthaOff CampusApartment NumberHome CountryHome StateCurrent Semester1st Semester2nd Semester3rd Semester4th Semester5th Semester6th SemesterCurrent Student MinistryStudent Ministry Leader NameCurrent RA's NameWhere do you workHours worked per weekHow is your school bill being paid?General QuestionsCan you make a 1 year commitment to the RA Ministry?YesNoCan you come back to campus one week early each semester to help with new student orientation?YesNoAre you willing to put extra time into this ministry (events, prayer, etc..)?YesNoWould you be willing to live in whatever complex the Women’s Department chooses for you?YesNoWhy do you think RA ministry exists?Why are you interested in becoming an RA?What do you feel you may gain from being part of the RA ministry?What qualities are important in an RA?List any activities you are involved in outside of school (hobbies):What would you enjoy the most/least about being an RA?Please Explain in DetailTell us about your family and your relationship with them (parents, siblings, etc):Tell us about those in your life that you would call mentor or spiritual leader and your relationship with them:What are important qualities of a leader?What is your history with drugs, tobacco, alcohol, sex/pornography?Are you currently involved in a relationship with a man beyond friendship?YesNoIf you answered YES to previous question please answer the following: How long have you been involved? Is he a student? What is his name?What local church are you involved in:Pastor's Name:Describe your weekly commitment, including services you attend and areas of ministry you serve in:Spiritual LifePlease give a brief testimony of your salvation experience. How long have you been a Christian? Are you baptized in the Holy Spirit? When did this happen?What are your strengths and weaknesses?How much daily time do you spend in prayer and in the Word?List any previous ministry experience:How do you handle conflict when being confronted by others and when you have to confront someone else?If you were asked to do something by the Dean of Women or Assistant Dean of Women that you didnt really want to do how would you respond?What is your primary love lanuage?Words of AffirmationActs of ServiceReceiving GiftsQuality TimePhysical TouchWhat challenges (spiritual or otherwise) do you anticipate if you are accepted into the RA ministry?Pretend you are writing a letter to introduce yourself to all the residents of your floor. Assume all your residents are brand new to CFNI and in their first semester. Please compose a letter in 500 words or less for your future residents that includes: 1.) An introduction of yourself (your interests, passions, personality), 2.) An explanation of your role as an RA in your cluster, and 3.) Any other information you feel would be good to communicate.Note: In order for this application to be complete, you must have your RA fill out a recommendation form. Please ask your RA to complete this form and turn it in to the Women's Department as soon as possible.