If you are a returning team member, please fill out the Returning Student Application instead. 

 
 
 

It is highly recommended for you to type your essay answers in a separate document and then copy and paste them into this application form so nothing is lost.  Once you have submitted your application, we will be in contact with you about setting up an interview.

 
PERSONAL INFORMATION
Name *
Name
Birth Date *
Birth Date
Cell Phone
Cell Phone
Current Address *
Current Address
where you receive mail current (include dorm room number if applicable)
Last Day of School
Last Day of School
Home Address
Home Address
(enter if different than your current address)
Parent's Name
Parent's Name
Parent's Phone
Parent's Phone
Pastor's Name *
Pastor's Name
EDUCATION & TRAINING
(if applicable)
School Address
School Address
Include the nature of the work, where it was done, and the duration of the effort.
WORK EXPERIENCE
Please give your employment history. Start with your present or most recent employer.
Company Address
Company Address
Supervisor's Name
Supervisor's Name
Supervisor's Phone
Supervisor's Phone
Date Started
Date Started
Date Finished
Date Finished
Company Address
Company Address
Supervisor's Name
Supervisor's Name
Supervisor's Phone
Supervisor's Phone
Date Started
Date Started
Date Finished
Date Finished
Company Address
Company Address
Supervisor's Name
Supervisor's Name
Supervisor's Phone
Supervisor's Phone
Date Started
Date Started
Date Finished
Date Finished
REFERENCES
Please provide us with the contact information for 3 references. Include a teacher, pastor and/or work supervisor. Do not include family members.
Name of Reference #1
Name of Reference #1
Phone
Phone
Name of Reference #2
Name of Reference #2
Phone
Phone
Name of Reference #3
Name of Reference #3
Phone
Phone
GETTING TO KNOW YOU
Thoughtfully read each question and answer as thoroughly and accurately as possible. Write at least 1-2 paragraphs for each question.
(attitude rating)
(health rating)
Who recruited you to Youth Challenge?
Who recruited you to Youth Challenge?

Contact References

Let your references know that we will be calling them soon.

Say Cheeeeese!!

Email us a good picture of yourself for ID purposes at payouthchallenge@gmail.com.