21 Project Athletics Application

Before you begin:

Thanks for your interest in 21 Project. There is an application fee of $15 required to submit this application. Please have your card available in order to complete the application. If you complete the application but don’t see an email from us immediately, check your spam folder, and then contact us if you still don’t see it.

Which 21 Project location are you applying to attend?

First Name:

Last Name:

Email Address:

Phone Number:

Age:

Gender:

I'm a Dude I'm a Lady

Tell us your salvation story.

Why do you want to take part in this school? What are you eager to learn? What skills would you like to develop?

What are you currently doing?

Are you working through any addictions (to drugs, alcohol, pornography, smoking, etc.)? Or have you had any past addictions? (doing something that you found really hard to quit).

Are you currently on any medications? If so, for what? If you have ever been treated for any psychiatric conditions, please tell us about it here.

How did you hear about 21 Project?

Are you part of Kona staff or have completed F&F DTS Fall 2017 or Spring 2018?

Yes No

Are you currently a university student?

Yes No

Tell us about any of your athletic background.

Tell us about a passion you have for ministry in sports, athletics, and fitness

Are you currently a collegiate athlete?

What do you hope to gain from this track?

Do you have any specific medical conditions, or injuries that limit you in athletic activities?

Almost there! Just need a few more details and we'll be ready to submit your application...

Address:

City:

State:

Zip:

Country

Emergency Contact Information:

Emergency Contact:

Relationship:

Emergency Contact's Phone Number:

$15 Application Fee - Online Payment:

Please enter the card details for the credit/debit card you'd like to use below:

First Name:

Last Name:

Credit Card Number:

Expiration Date:

CVC:

Billing Zip: