Masters Application - Impact 360 Institute

Impact 360 Institute Masters Application

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Impact 360 Masters Application

This application is for the Impact 360 Masters program. If you would like to request more information or submit a general inquiry, please send an email.

Tell Us About You!

First Name

Last Name

Preferred Name

Email

Cell Phone

example: (123)456-7890

Home Phone

example: (123)456-7890

How did you first hear about the Impact 360 Masters Program?

Who referred you to Impact 360? Please include full name.

Have you previously applied to the Impact 360 Masters Program?

Are you a Fellows (Gap Year) Alum?

What is your T-shirt size?

Contact Information

Address Line 1

Address Line 2

City

Country

State

State/Province

Postal Code

Other Information

Country of Citizenship

At this time we cannot accept applicants that are not United States citizens.

Gender

Date of Birth

Ethnicity

Ethnicity

Please upload a photo of you! Make sure the photo is of just you, has good lighting and image clarity.

Please upload profile image.

Notice of Non-Discriminatory Policy

Impact 360 Institute, Inc., will admit students of any race, color, national, and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis or race, color, national and ethnic origin in the administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.

Campaign ID

Campaign ID2

Account ID

Contact Type

Our Beliefs

Church Information

Church Name

Church Denomination

Church City, State

Belief Statements

Below is a summary of what we believe at Impact 360 Institute. Please read through each statement and indicate if you agree or disagree after each section. If you disagree, please write an explanation of why.

We Believe...

God inspired the Bible and in it He shows us His nature and mission. The Bible is absolutely true, without error. It is our authority, and is instructive for our lives, our work, and ministries.

Do you agree?

If you disagree with any part of the statement, please provide a brief explanation in the box below.

We Believe...

God is the only one sovereign God who reveals Himself in three persons: Father, Son and Holy Spirit.

Do you agree?

If you disagree with any part of the statement, please provide a brief explanation in the box below.

We Believe...

Jesus Christ is the living Son of God. He was crucified, buried, rose and ascended into heaven. He will come again and will establish God's Kingdom forever.

Do you agree?

If you disagree with any part of the statement, please provide a brief explanation in the box below.

We Believe...

Those who believe in Jesus Christ will reign with Him for eternity, while those who do not believe will be separated from Him for eternity.

Do you agree?

If you disagree with any part of the statement, please provide a brief explanation in the box below.

We Believe...

God created people to worship and serve Him, but we all fall short of this purpose. We all choose to disobey God and that means we are all sinners, deserving condemnation and death. We can only be saved by receiving God's grace by faith in Jesus Christ.

Do you agree?

If you disagree with any part of the statement, please provide a brief explanation in the box below.

We Believe...

The Holy Spirit empowers followers of Jesus Christ today. He leads people to faith and serves as our Counselor and Encourager.

Do you agree?

If you disagree with any part of the statement, please provide a brief explanation in the box below.

Do you agree with ALL Statements of Belief?

All information and answers submitted on this application were completed by me. I understand that Impact 360 Institute holds its students and staff to the highest moral and Biblical standards. To the best of my knowledge, all of the information I have submitted is true. By typing my name below I agree to this statement.

References

Professional Reference

Consider choosing someone who can give insight into how you handle responsibilities at work and manage your time. Think of someone who is aware of your day-to-day work.

Professional Reference Text

First Name

Last Name

Email

Phone

example: (123)456-7890

Pastoral Reference

Consider choosing someone who can give insight into your spiritual walk with God. Consider somebody who can offer insight into your personal growth.

Pastoral Reference Text

First Name

Last Name

Email

Phone

example: (123)456-7890

Academic Reference

Consider choosing someone who is aware of your work style and overall academic drive.

Academic Reference Text

First Name

Last Name

Email

Phone

example: (123)456-7890

Academics, Employment, and Affiliations

Academics

Are you currently enrolled in a college or university?

Anticipated Graduation Date

Please list all institutions attended since high school. Official transcripts from all institutions should be sent directly to the Program Director at the appropriate campus (see last page of this application).

First Institution

Name of the educational institution that you attended.

City

State

GPA

Degree Earned (if any)

Did you attend another institution?

Next Institution

Name of the educational institution that you attended.

City

State

GPA

Degree Earned (if any)

Did you attend another institution?

Next Institution

Name of the educational institution that you attended.

City

State

GPA

Degree Earned (if any)

Employment & Vocation

What is your vocational/career goal?

Are you currently employed?

Employment Information

Name of Employer

Address of Employer

City

State/Province

Zip

Country

Position

What are your current responsibilities?

Other Information

Are you legally authorized to work in the United States?

State of issue for drivers license

Will you now or in the future require sponsorship for employment visa status? (e.g. H-lB visa status)

At any time have you been charged, arrested, or convicted of a criminal offense of any nature?

Please describe the offense.

Affiliations

Have you ever been employed by or affiliated with Impact 360 Institute, Inc.?

Describe affiliation and when.

Are you related to anybody who currently works for Impact 360 Institute?

What is the name of the Impact 360 Institute employee?

Have you ever worked for Chick-fil-A?

What is/was the name of your Chick-fil-A Operator?

Essays & Experience

Short Answer

What do you enjoy devoting your time and attention to?

More About You

Please select the word or phrase that best describes you.

Reserved or Outgoing?

ReservedOutgoing

Humorous or Serious?

HumorousSerious

I think things or I feel things?

I think thingsI feel things

Close-knit friends or never met a stranger?

Close knit friendsNever met a stranger

Take charge leader or behind the scenes?

Take charge leaderBehind the scenes

Timely or Procrastinator?

TimelyProcrastinator

Free spirited or prefers structure?

Free spiritedPrefers structure

Loves to travel or homebody?

Loves to travelHomebody

I initiate things or I wait for others to start things?

I initiate thingsI wait for others to start things

Please select the word(s) that describe you.

AthleticMusicalArtisticCreativeOutdoorsy

Essays

You're almost there! The last step in your application is to complete a few essay questions. There is no minimum word count required, just answer as thoroughly as possible. We recommend that you type your essay responses first in a separate document on your computer (such as Microsoft Word) to avoid losing your answers if the page times out. Once you feel confident about your answers, you can copy and paste the text into the provided spaces.

1. How will Impact 360 Masters experience assist you in pursuing God's will for your life?

2. Why do you desire a masters degree in leadership with a focus on either servant leadership or spiritual formation?

3. Tell me about how your relationship with Jesus started and how it is currently influencing your life.

4. Tell me about two mentors in your life. Why are they significant and how have you applied what you have learned from them?

5. What experience do you have in leading people? Share an example of a time that you led a group and the overall outcome.

6. Share an example of a time when you helped provide a solution for a problem. For example, at school, job, with friends or family?

All information and answers submitted on this application were completed by me. I understand that Impact 360 Institute holds its students and staff to the highest moral and Biblical standards. To the best of my knowledge, all of the information I have submitted is true. By typing my name below I agree to this statement.

I certify the above is true.

Yes

Today's Date

Payment Information

You're almost finished! Pay your $40 application fee to finalize and submit your application.

Do you have a promo code?

If you have a promo code, please enter it here.

This field is case sensitive.

Quantity

Application Fee

$

Payment Information

Name on Card

Card Number

MM

YY

Code

Billing Email

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