Onyx House Resident Application

Your name *

Email address *

Birthdate *

Phone number *

Address *

Parent/Guardian Name(s) *

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact Email Address *

Who are you presently living with? *

How long have you lived there? *

Are you currently taking college classes? If so, where? *

Do you have future plans for school? (Major, graduation date, LCC, UO, Bushnell, New Hope, other?) *

Rent at the Onyx House is due on the 1st of every month. Will you be making this payment by working, contribution from family, loans/scholarships, other? *

Are you currently employed? If so, where and for how long? *

Do you plan on working while living at the Onyx House? *

What is God currently teaching and doing with you? What are the personal habits, disciplines and practices that you follow in your spiritual life? *

Why do you want to serve with the Onyx House College-Age Ministry? *

How do you see yourself contributing to the Faith Center community? *

How did you originally hear about the Onyx House? (Friend, family, church, other?) *

If you were referred by a current Onyx House resident, please enter their name below.

By checking this box, you give us permission to run a criminal background check on you as part of your application to live at the Onyx House. *

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