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Thank you for your interest in the Uptown Fellows Program in Dallas!

All information received on this application will be kept confidential and used solely for evaluating prospective fellows. If you experience problems completing this application, please email fellows@incarnation.org.

"*" indicates required fields

Personal Information

Name*

Date of Birth*

Sex*

Male

Female

Driver's License No. / State*

Current Address*

Email*

Cell Phone*

Parents' Names (1)*

Parents' Phone (1)*

Parents' Address (1)*

Parents' Names (2)*

Parents' Phone (2)*

Parents' Address (2)*

Name of University Most Recently Attended (Include location)

Name of University*

Major*

GPA*

Year Entered*

Expected Graduation Date*

Other Universities Attended (Include location)

Name of University (2)

Year Entered

Year Left

Major

Name of University (3)

Year Entered

Year Left

Major

Career Field Preference*

(It is a cooperative effort between the Fellows Board and the applicant to seek a work assignment within the field to which you aspire)

I affirm that the information I have provided on this application and all attachments is true and correct.

By signing below, I also authorize the Beecherl Corrigan Fellows (Referred to as Uptown Fellows) Program at Church of the Incarnation to make independent inquiries about me.

Signature*

Date*

Tell Us About Yourself

Please be as brief as possible: limit your response to the first question to one page and your responses to the remainder of the questions to approximately one paragraph.

Please describe your spiritual background and testimony.*

Who has influenced your life in the most important ways?*

Where and how is God leading you to fulfill your life goals?*

Please describe your family and your relationship with your parent(s) and any sibling(s).*

What do you perceive are your greatest strengths and weaknesses? Include your personality, values and work ethic.*

Please give an example of how your devotion to God and love for what is good and right has set an example for others.*

How did you learn about the Uptown Fellows?*

Please describe your experience as a participant or leader in a Christian ministry. What gifts would you be able to contribute to the ministry of Incarnation?*

A significant part of the program is living in an intentional Christian community. What experiences have you had in Christian community that would prepare you for this aspect of the program?*

Please Also Provide

Current Résumé*

A current résumé listing work and volunteer experiences since graduating from high school, and any college honors or awards. This will be used in arranging your workplace internship.

Max. file size: 50 MB.

Current Photo*

A current photo

Max. file size: 50 MB.

Three references to include a pastoral reference, a professional or academic reference, and character reference. Do not list relatives.

Pastoral Reference

Name*

Nature of Relationship*

Email*

Phone*

Character Reference

Name*

Nature of Relationship*

Email*

Phone*

Professional or Academic Reference

Name*

Nature of Relationship*

Email*

Phone*

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