MOMENTUM

Application and Scholarship Form

INSTRUCTIONS:

Fill in the blanks and answer the questions below. Email (preferred) or send Application and Scholarship Formto Arthur Kok, The Orchard Network Director of Training, or Arthur Kok c/o The Orchard Network, 1301 S. Grove Ave., Barrington, IL 60010.

General Information:

Name (First Middle Last)

Street

City, State, ZIP

Phone ()

E-mailAddress

Date of Birth // Place of Birth

Gender Male FemaleCountry of Citizenship ______

What is your first language?

Marital Status

Single Engaged Married Separated Divorced Widowed

Name of spouse or fiancé, if applicable.

Church Affiliation ______

Anticipated time you will begin MOMENTUM(check one):

January ______Mid-August ______

Suitability for MOMENTUM

MOMENTUM is intended for people who fit into one of the following categories. Please circle or highlight/bold the category that applies to you.

Current pastor or called to be a pastor (male)

You fit this category if …

  • You are on staff at a church.
  • You intend to work on staff at a church someday.
  • You are ordained or could pursue ordination.

Current church planter or called to be a church planter (male)

You fit this category if …

  • You are currently planting a church or campus.
  • You intend to plant a church or campus someday.

Current missionary or called to be a cross-cultural missionary (male or female)

You fit this category if …

  • You are currently employed with an organization as a missionary.
  • You are actively planning to join an organization as a missionary.
  • You do vocational ministry with a para-church organization as an employee.

Current or potential church staff person (male or female)

You fit this category if …

  • You are employed at a church.
  • You are currently seeking employment at a church with pastoral affirmation of that action.

Affirmation of Campus Pastor or Senior Pastor

To be accepted to MOMENTUM you must meet with your campus pastor (if you attend The Orchard) or your senior pastor (if you attend another church) to discuss your call to vocational ministry and the specifics of MOMENTUM. Please affirm this below:

Yes No

If you mark “No”, please explain.

We ask that your senior or campus pastor send a brief email affirming your call to vocational ministry to . Generally, we are not able to accept you in MOMENTUM without having received this email, except in specific circumstances.

Note: please provide 5-8 sentence answers to the following questions:

  1. Please share your conversion story. How did you come to Christ and what role does He play in your life today?
  1. Describe God’s call on your life: What are you called to and how has that been confirmed by others?
  1. How did you hear about MOMENTUM? Why do you want to participate?

Please provide 1-2 sentence answers to the following questions:

Are you in the midst of or have you completed any seminary or Bible school training? If so, what school and what is your current status?

Is your intent to participate in the entireMOMENTUM curriculum (16 modules, 21 months) or just a single semester?

Financial Matters

Members of The Orchard Evangelical Free Church, or those who will pursue membership at the next opportunity, can participate in MOMENTUM for free. For all others, the base cost for MOMENTUMis $1,000 per semester. Scholarships are available.

Are you applying for a scholarship? (Please circle or highlight/bold)

Yes No, I am paying full-price. No, I’m a member of The Orchard

If yes, please mark what you are able to pay per semester?

$500 per semester

$300 per semester

$100 per semester

Other (specify amount) ______

If applying for a scholarship, please describe your financial situation and your reason for applying for the level of scholarship you indicated. (1-2 paragraphs)

Payment can be made online on our webpage or by check to “The Orchard Network.”

Please provide a reference:

Name: Phone:

Email:

MOMENTUM is a challenging program, requiring engagement, focus, and diligence from participants. We ask that participants make at least three commitments:

1)To attend faithfully and, if possible, let the program coordinator know when you cannot come

2)Read the materials as assigned and participate in discussions

3)Remain engaged during the sessions, encouraging and sharpening the other participants as everyone pursues Christ together

Are you willing to make these commitments before the Lord?

Yes No

The Orchard Network reserves the right to dismiss a MOMENTUM participantwho, in its judgment, does not conform to the standards established.

Applicant’s Signature

Date

1