Student Application for English for Mission

Full Name: *

Date of Birth: *

Gender: *

Marital Status: *

Email *

Phone *

Street Address *

City *

State *

Country *

Postal code *

What is your current occupation? *

Are you applying for:

Online course only

Online course with possible future in-person participation

If you were referred by someone, please provide their name:

Spiritual Background

1. What is your current religious background? *

2. Do you currently attend a church? *

Yes, regularly

Sometimes

Rarely

No

3. If yes, which church or denomination?

4. How familiar are you with the Bible? *

Very familiar

Somewhat familiar

Beginner

Not familiar

5. Please briefly describe your faith journey. *

Educational Background

1. Highest Level of Education Completed: *

2. Previous Training or Experience Related to Evangelism/Mission Work: *

Experience with English

How long have you studied English? *

Less than a year

1-2 years

3-5 years

More than 5 years

Where did you learn English? (Check all that apply)

Church

English Courses

Self-study

Please rate the level that best describes you:

(1 = Beginner, 3 = Intermediate, 5 = Advanced)

Reading

BeginnerAdvanced

Writing

BeginnerAdvanced

Listening

BeginnerAdvanced

Speaking

BeginnerAdvanced

How often do you use English?

Daily

Sometimes

Rarely

Never

Motivation & Goals

1. Why do you want to attend Streams of Light English for Mission Course? *

2. What do you hope to gain from this program? *

Availability and Participation (Central Time)

1. Availability for live English classes

Online students are required to attend two live-streamed classes per week on Mondays and Thursdays.

Which time interval(s) are you available for live English classes? * Select all that apply.

2:00 PM – 4:00 PM

4:00 PM – 7:00 PM

7:00 PM – 9:00 PM

I am flexible

If applicable, please specify your preferred time within these ranges:

2. Daily devotional and Bible classes

A daily devotional and Bible class are required parts of the program. These sessions include prayer, Bible study, and mission-focused spiritual reflection. Recordings will be made available to accommodate time zone differences.

Time range: 8:30 AM - 10:00 AM

Are you willing to attend this daily session? *

Yes

Yes, with occasional conflicts

No

If existing, please explain any limitations:

3. Optional observation of the In-Person classes

Online students will have the opportunity to observe In-Person classes one day per week.

Time range: 10:00 AM - 1:00 PM

Would you be interested in this opportunity? *

Yes

Maybe

No

4. English Buddy System

Online students may be paired with an English practice partner for additional conversation practice

Would you be interested in having an English practice partner? *

Yes

Maybe

No

How often would you be willing to meet?

Once per week

Occasionally

Flexible

Do you have any preferences or requests regarding your English practice partner?

Technical Readiness

Do you have reliable internet access for live online classes? *

Yes

Most of the time

No

Do you have access to a computer with a microphone and a camera? *

Yes

Yes, but with limitations

No

Reference

Please provide the name and contact information of a reference, an individual (not a family member) who can comment on your character, interpersonal skills, and spiritual growth.

Name *

Relationship to Applicant *

Email *

Phone Number *

Commitment

This course is part of a Christian mission. Classes and assignments may include prayer, Bible-based content, and faith-related topics.

Please, confirm your agreement:

I understand that this is a Christian, mission-focused English course

I agree to participate respectfully in this environment

I understand and accept the program’s Christian spiritual content

This program requires regular attendance, participation, and completion of assignments.

Are you willing to commit to the program requirements? *

Yes, fully

Yes, to the best of my ability

Not sure yet

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