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2017-2018 Student Resident Application

Students atFlorida State University, Florida Agricultural & Mechanical University, and Tallahassee Community College(either enrolled or who anticipate enrollment)are encouraged to apply for residency at UKirk Tallahassee. While active members of Presbyterian Church U.S.A. congregations are preferred, we welcome others also. Apart from enjoying an exceptional housing environment at reasonable rates, residents accept ministry-related responsibilities and agree to live, learn, serve and lead together as a Christian community. See our ResidentHandbook for details, expectations, terms and conditions.

Resident candidate criteria:

  • Growing faith in God
  • Regular worship attendance
  • Full-time student
  • Service to community & others
  • Involvement in organizations related to particular interests, aspirations, or skills

Complete & return application to the Presbyterian University Center byApril 1, 2017 for priority consideration. If all spaces have not been filled, applications will be accepted after this date. A complete application includes complete responses to each section below and the essay. Applicants will be notified of residency status by April15, 2017. Commitments to reside secured with a $300.00 deposit are due by May 1, 2017.

PERSONAL INFORMATION

First Name ______Middle ______Last ______

Email AddressPhone ( )

Address ______City ______

State ______Zip ______Date of Birth: ______

Academic Institution: ______Fall 2017 Standing:  Senior  Junior  Sophomore  Freshman

Revised 3/9/2017

1

REFERENCES

Provide three (3) personal references, including at least two (2) of the following: Someone from the congregation in which you are active; a current or former employer; a current or former teacher, professor, or school administrator.

NamePhone ( )

Title / First / Last

Address

Street/PO Box City State Zip

Relationship

NamePhone ( )

Title / First / Last

Address

Street/PO Box City State Zip

Relationship

NamePhone ( )

Title / First / Last

Address

Street/PO Box City State) Zip

Relationship______

RELIGIOUS & COMMUNITY INVOLVEMENT

Religious Tradition and Experience

BaptizedProfession of Faith/Confirmation Date

Home FaithCommunity

Name/Address/City/State/Zip

Pastor’s Name ______

Check any that apply:  Elder - Ordination Date______ Deacon - Ordination Date

List your current and recent areas of involvement in both the life and mission of the local church. Note your experience as a participant or as a leader. Mark current areas of involvement with an asterisk (*).

Area of InvolvementParticipant Leader

______

______

______

______

List current or recent areas of involvement in the larger church. Note your experience as a participant or as a leader. Mark current areas of involvement with an asterisk (*).

Area of InvolvementParticipant Leader

______

______

Describe your most meaningful service experience.

List organizations or associations related to your particular interest, aspirations, or skill of which you are or have been a member. Note your participation and role.

What are your academic interests? If declared, what is your major?

In what extracurricular activities might/do you participate at FSU?

What household chores or responsibilities have you performed growing up? Which do you enjoy doing? Which do you not enjoy doing?

ESSAY

In 500 words or less, describe your ideal campus ministry mission project or activity. Explain the Christian values and biblical texts that inspire your vision. Describe outcomes that your project might produce. Address leadership or other role(s) you would play in implementing your project.

Signature______Date ______

Revised 3/9/2017