Eastgate Gap Year Application

Name*
First Last
Date of Birth*
Gender*
- Male
- Female
Address*
Street Address Address Line 2 City County / State / Region Postcode / ZIP Country
Email*
Phone*
Next of Kin's Name*
First Last
Relationship to you*
Phone*

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Eastgate Gap
How did you hear about Eastgate GAP?*
Why do you want to do Eastgate GAP?*
Which stream would you like to apply for?*
Please number each stream in terms of preference, 1 for most desired, 4 for least desired.
Worship Children's ministry Youth Media
What experience do you have in your preferred area/s?*
e.g. experience in photography/filming, editing, social media etc. If applying for the music stream, please list any instruments played and level of ability.
Church background
Please give a short testimony of how you became a Christian and what your journey has been like so far.*
What's the name of your Church?*
How long have you attended there?*
Describe your involvement at your Church. What ministry activities have you served in?*
5. Have you been baptised in the holy spirit?*
- No
- Yes
Can you describe what happened?*

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Education history
Please list your schools/university and qualifications obtained.*
Any other relevant qualifications*
Have you left full time education*
- No
- Yes
What are you currently doing?*
Personal information
Do you have any health issues, either physical or mental that we should be aware of?*
- Yes
- No
Please explain what they are and any ongoing medication or support needed*
Health issues will not necessarily prevent you from doing this course, but it is important that we know so we can offer you the correct support. If relevant, please explain how your health issues will affect your day-to-day life and participation in the course
Are there any life dominating/addictive issues (e.g. drugs, alcohol, pornography) that you are currently struggling with that we should be aware of?*
- No
- Yes
Please explain*
Have you ever been involved in the occult, witchcraft or cults?*
- No
- Yes
Please explain.*

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Personal interests
What do you enjoy doing in your spare time?*
What would you say your biggest strengths are?*
What would you say your biggest weaknesses are?*
Describe one person who has influenced you in your life and how:*
Do you have a sense of what to do in the future, and if so what?*
Do you have an idea of what you'd like to do at the end of Eastgate GAP? i.e. University, employment, unsure?*
Please give brief details of how you intend to finance your year at the school.*
Acceptance on the course is dependant on a DBS criminal record check, which will be carried out before the course starts.

The course fee needs to be paid in full by September 2018.
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Eastgate Gap