21 Project Music 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 currently a university student?

Yes

No

21 Project Music Track Will Have 3 Main Focuses

Let us know which one you are interested in!

Music Track Focus

Songwriting Worship Leading Musician You'll have opportunity to learn parts of all 3, but please choose a primary focus

Tell us about your experience in your chosen focus, and why you chose it:

Describe any previous ministry training and involvement:

Have you ever played/sang with a band? Please explain.

Are you a singer?

Yes No

Are you a musician?

Yes No

Are you capable of working sound/tech?

Yes No

Performance Video:

Please provide the link to a 3 minute video (via Youtube, Vimeo, Dropbox, or Google Drive) of you playing and/or singing along with any song of your choice. The goal is to pick a song that highlights your tastes and personal style! Just give your guts!!

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

Address:

City:

State:

Zip:

Country

Housing Info:

For the Lancaster 21 Project we'll be partnering with local churches and individuals to offer housing for our students. Let us know if you live within 30 minutes of Ephrata Community Church and would like to help host other students, or have connections with a potential host home or church.

Housing Status:

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:

Zip: