Peacemaker Intensive 2022 Registration

Name

This address will receive a confirmation email

Phone

Address

References:

Home Church/Ministry

Home Church/Ministry Address

Pastor/Ministry Leader’s name

Pastor/Ministry Leader’s Title

Reference #1 - Pastoral

Reference #1 Phone

Reference #2 - Personal (non-family member)

Reference #2 Phone

More about yourself:

Recent photo of self

Upload (8MB)

Birthdate

Gender

Male Female

What is your relationship status?

Single Dating Engaged Married

Is your significant other also applying for the Peacemaker Intensive?

Yes No Not Applicable

If yes, what is your significant other's name?

Housing

Housing will be provided at First Baptist Church of Ferguson for those not commuting. If you plan choose to commute you may choose from the options listed.

Will you require housing?

Yes No, I plan to commute

Commuter Rate Option $600 - Commuter Rate $780 - Commuter Rate with Lunch Only Meal Plan $960 - Commuter Rate with Full Meal Plan

Part time Peacemakers will have access to the teaching recordings happening over zoom (about half). In addition, they can attend up to five week days of the intensive in person and any weekend activity.

Part Time Option

Essay Questions:

Why do you want to participate in our Peacemaker Intensive?

How did you hear about Civil Righteousness and/or the Peacemaker Intensive?

Share your testimony: How and when did you come to faith in Christ? How has your faith had an impact upon your life?

Is there anything we should be aware of regarding your participation this summer? (i.e. potential scheduling issue, dietary restrictions, medical needs, etc.)

Payment:

A non-refundable deposit of $150 is required at time of application. It is also an option to pay in full if you would prefer (the deposit is included in this final amount). Otherwise, payment in full will be due by June 5, 2022.

Payment $150.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 5 - 25, 2022

Civil Righteousness is inviting young adults to meet us in Ferguson, MO to be trained and equipped as holy activists. Holy Activists pursue lifestyles of righteousness and justice through public actions, strategies, and initiatives driven by Biblical patterns for social change in their spheres of influence as peacemakers, reconcilers, reformers, and revivalists. Students will glean from local and national leaders through daily prophetic worship and prayer, Biblically-based, revelatory teaching, and powerful, hands-on ministry experiences.

Please submit this application in full, along with the deposit, and we will be in touch with you for follow up within ten days.

Peacemaker Intensive 2022 Registration

Description

Please Fix the Following