APply

Interested in applying for the upcoming Gap Year program? Just fill out this form and click submit. We'll get back to you with further instructions and a phone interview. The Center for Western Studies admits students from any race, color, national or ethnic origin.

Please fill out the form below, and include a picture of yourself!

Name

First Name

Last Name

Preferred Name (if different)

First Name

Last Name

Birthdate

YYYY

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Email Address

Most Recent School Attended

What are your top 5 favorite books? List a point or two each about why.

What books have you read in the last year?

What sorts of hobbies, sports, and extra-curricular activities do you like most?

How would you describe your relationship with Jesus Christ?

Have you ever traveled to other countries? Which, and what was your experience?

What do you hope to achieve through being part of The Center’s Gap Year program?

Ministry Reference

Please include the following: Name, Relationship to you, Phone, E-mail, Address, Best method to contact, Best time to contact

Employment Reference

Please include the following: Name, Relationship to you, Phone, E-mail, Address, Best method to contact, Best time to contact

Educational Reference

Please include the following: Name, Relationship to you, Phone, E-mail, Address, Best method to contact, Best time to contact