BayUP Application Part 1

BayUP Application - Part 1

This is the personal information and reference section. After completing Part 1, you will receive an email with instructions for Part 2, as well as the different references.

Contact Information

* First Name

* Last Name

* Email Address

* Address

* City

* State

* Postal Code

* Cell Phone

* Fellowship / College Campus

References

As part of your application, we need 3 references from you:
1) Current or former pastor (could be a youth pastor)
2) InterVarsity Staff worker
3) Peer (co-leader, roommate, friend)

Please fill out the name and email for each reference. After you submit this application, they will get an email reference form to fill out for you. Reference forms are due April 15.

* Pastor's Name

* Pastor's Email

* InterVarsity Staffworker's Name

* Staff's Email

* Peer's Name

* Peer's Email

* I authorize the below references to give the InterVarsity Urban Program Director any and all information regarding me and I release you from liability for any damages that may result from furnishing this information to the InterVarsity Urban Program Director. Please type in Name and Zipcode.

Yes

* Indicates Response Required