Sex
*
Select Option
Male
Female
Marital Status
*
Select Option
Single
Married
Divorced
Widowed
Do you have any children?
*
Select Option
Yes
No
Do you have a Driver's License?
*
Select Option
Yes
No
As you answer the following questions, please be detailed and concise.
1. How do you describe your...
As you answer the following questions, please be detailed and concise.
Please select one choice for each characteristic. Consider the "average" to be a reasonably well-adjusted individual who is qualified for full-time Christian work.
Please check any boxes that apply to you.
If you need Financial Aid, please email TheRizaExp@gmail.com with a detailed description of your financial situation.
Emergency Contact Information
Medical Information & History
*If you have a severe allergy you will be required to keep your own epinephren pen on you at all times.*
Medical Release & Release of Liability
*If applicant is a minor, please email our Registrar at TheRizaExp@gmail.com to send you this form which needs to be printed, signed and stamped by a Notary Public.
I hereby grant permission for the performance of any emergency treatment that may be required in the case of an accident or illness wherein I am rendered unconscious or unable to approve of the required medical treatment.
I do hereby release The Hive Church, Inc., Riza, their agents, employees and volunteer assistants from any liabilities whatsoever arising out of an injury, damage or loss which may be sustained during the course of involvement with Riza.
I agree to live by the rules, standards and general guidelines set forth by the Riza Leadership Team. I will submit to the oversight of godly men and women in my life. I will refrain from practices that the Scripture prohibits, including stealing, deceit and extra/pre-marital sexual relationships. Unless currently in a relationship, I will not enter into a romantic relationship during my time at Riza. I will apply myself to the pursuit of learning to be a disciple of Jesus: living in Him, learning His ways, obeying His commands, and becoming a fruitful member of the Body of Christ.
Reference Contact Information
A. Pastor or Small Group Leader
B. Parent, Guardian or Spiritual Parent
C. Long Term Friend (preferably over 3 years)