bsms full application – Bridge Street Ministries

Home
About
2023 Fundraiser
Meet the Board
Meet the Staff
Get Involved
Youth Discipleship
Connect
- Job Openings
Donate
Search
Menu Menu

Grand Rapids Bridge Year Student Application

Step 1 of 11 - General Information

0%

Today's Date
MM slash DD slash YYYY
Start Date of School
Name
First Middle Last
Nickname
Gender
Upload a picture so we can put a face with your name!
Max. file size: 256 MB.
Age
Please enter a number from 17 to 100.
you must be 17 to enroll, if you are 17, we will require a parental signature at the end of the application
Birthdate
MM slash DD slash YYYY
Birthplace
Your email address:
Current Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Is this your permanant address?
Permanant Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you have a passport?
If you don't have a passport, we'll help you with the application process once you've been accepted into GR Bridge Year.
Country of Citizenship
Name as Listed on Passport
City/Country where Passport was Issued
Passport Number
Passport Expiration Date
(for non US citizens) Visa type and Expiration Date

Save and Continue Later

Relationships
Current Relationship Status
When did you get engaged?
MM slash DD slash YYYY
When did you get married?
MM slash DD slash YYYY
When did you separate?
MM slash DD slash YYYY
When did you get remarried?
MM slash DD slash YYYY
When did you become a widow?
MM slash DD slash YYYY
Spouse's Name
First Middle Last
Spouse's Gender
Spouse's Birthdate
MM slash DD slash YYYY
Spouse's Birthplace
Will your spouse be accompanying you?
Are you currently in a dating relationship with someone also applying to the Mission School?
What is this person's name?
First Last
Do you have children?
Can you tell us about them?
We would love to hear about their genders, names and ages!
Parent Information
Please select only the sections that apply to you
- Mother
- Father
- Step Parent
- Legal Guardian
Mother's Name
First Last
Mother's Phone number
Mother's Email Address
Father's Name
First Last
Father's Phone Number
Father's Email
Step Parent's Name
First Last
Step Parent's Phone Number
Step Parent's Email Address
Legal Guardian's Name
First Last
Legal Guardian's Phone Number
Legal Guardian's Email
What is your guardian's relationship to you?
Criminal Record
Have you ever been convicted of a felony?
Have you ever been convicted of a misdemeanor?
Have you ever been convicted of a sexual crime?
Please explain any "yes" answers here:
*
- By checking this box, you authorize for BSM to request a criminal background check on you.

Save and Continue Later

Church Information
Name of your Home Church
Church Denomination
Select what best applies to you
Length of time at the church stated above

Save and Continue Later

Work Experience
Beginning with the most recent, tell us about your last 5 years of experience.
Job 1 Employer
Name of Position
What dates did you hold this position?
Supervisor Name
Briefly describe the work performed / skills you used.
Do you have another job to report?
Job 2 Employer
Name of Position
What dates did you hold this position?
Supervisor Name
Briefly describe the work performed / skills you used.
Do you have a third job to report?
Job 3 Employer
Name of Position
What dates did you hold this position?
Supervisor Name
Briefly describe the work performed / skills you used.
Do you have a fourth job to report?
Job 4 Employer
Name of Position
What dates did you hold this position?
Supervisor Name
Briefly describe the work performed / skills you used.
Skills and Talents
Occupational Skills (skills required for certain jobs)
Musicial / Artistic / other skills
What is your proficiency with the English Language?
If Applicable, tell us what other languages you speak and your proficiency

Save and Continue Later

Educational Experience
Please tell us about the schools you've attended
Have you attended high school?
- Yes
- No
Name of High School
Date Started
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY
Have you attended a high school equivalent?
- Yes
- No
Name of High School Equivalent
Date Started
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY
Have you attended college or university?
- Yes
- No
Name of College/University
Date Started
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY

Set as today's date if you're still a current student
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Licenses or Degrees Acquired
Have you attended a trade school?
- Yes
- No
Name of Trade School
Date Started
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY

Set as today's date if you're still a current student
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Licenses or Degrees Acquired

Save and Continue Later

Financial Information
Do you have your complete school fees?
What amount do you currently have?
From what source will your still-needed funds come?
Do you have any significant debts?
Please explain your outstanding debts

Save and Continue Later

A Couple Quick Questions
How did you first hear of Grand Rapids Bridge Year?*
Other:
What most influenced your decision to apply?*
Other:
Personal History Essay Questions
Please write 100-250 words for each question
Summarize your spiritual journey and current relationship with Jesus Christ
Describe your current relationship with your local church, including any areas of ministry, service, and leadership experience
How does your family feel about your plans to enroll in Grand Rapids Bridge Year?
What are you hoping to gain from this experience?

Save and Continue Later

References
Note: We will email a reference form to the following references; you may want to make them aware that you will be using them as a reference prior to submitting this application.
Pastor
Pastor's Name
First Last
Position/Title
What is your relationship to this person?
Pastor's Email*
Enter Email Confirm Email
Phone
Friend
Friend's Name
First Last
What is your relationship to this person?
Friend's Email*
Enter Email Confirm Email
Phone
Employer/Teacher
Employer/Teacher's Name
First Last
Position/Title
What is your relationship with this person?
Employer/teacher's email*
Enter Email Confirm Email
Phone

Save and Continue Later

Medical Information
Do you currently have health insurance coverage?
Are you currently under a doctor's care?
Briefly explain:
Are you presently taking any medication?
Briefly explain:
Are you allergic to any foods, drugs or medications?
Briefly explain:
Do you have any physical impairments, handicaps, or health conditions which require special attention?
Briefly explain:
Any other health-related issues that we should know about?
Briefly explain:
In the last 12 months, have you used drugs other than those required for medical reasons?
Please Explain:
Please list what drugs you've used and how recently (month/year)
Emergency Contact
Name
First Last
Relation
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email

Save and Continue Later

Certification*
I hereby certify that all the information included in this application is complete and accurate to the best of my knowledge.
- Check this box as your signature
Parent Signature
Max. file size: 256 MB.
Click here to print the certification form
If you are not yet 18, please have a parent or legal guardian sign this form. Then upload the completed form above.

Save and Continue Later

One last chance to review your submission:
{all_fields}

Save and Continue Later

Δ

0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Name *

Email *

Website

Comment *

Δ

Interesting links

Here are some interesting links for you! Enjoy your stay :)

© Copyright - Bridge Street Ministries | built with 5 espressos.

Scroll to top