Worship Residency Application

Oct 11, 2025 - April 26, 2026

Registration Deadline: August 31, 2025

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Number

(###)

###

####

Church Name

Church City, State

Date Of Birth

YYYY

Grade in School

Please share how and when you committed your life to Jesus Christ. Explain the circumstances leading to your salvation.

Please articulate the Gospel.

Please share about your relationship with Jesus.

(Your answers to these next questions will not disqualify you from SWA, but your honesty is so important to see God work in and through you at SWA) Are you struggling with pornography or other sexual temptations? (Please Share below)

Have you struggled with drugs or alcohol? (Please Share)

Are you struggling with depression, anxiety, self harm or eating disorder? (Please Share)

How much time do you spend on social media?

Primary Instrument/Interest

Secondary Instrument/Interest

Other Instrument Interest

T-Shirt Size

How did you hear about the Student Worship Apprenticeship?

Friend

Facebook

Instagram

Other

Special Dietary Needs

Please let us know of any allergies/medical conditions that would require special meals to be prepared for you. All special meal requests are needed 1 week before the apprenticeship begins.

Additional Allergies/info

Please list any other allergies or information that we need to know about your student:

Emergency Contact

First Name

Last Name

Relationship to student

Cell number

(###)

###

####

Disclaimers & Release of Liability

I approve this student's participation

I have read and agree to the terms above.

Pastoral Reference

First Name

Last Name

Phone

(###)

###

####

Personal Reference

First Name

Last Name

Phone

(###)

###

####