1 Personal Details2 Program Requirements3 References4 Short Answer/Essay First Name*Last Name*Company/Organization*Job Role/Title*Email* Phone*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Were you referred to the Workmatters Institute by an individual or organization?YesNoNameEmail Which WMI class are you hoping to join?Spring 2021Program Requirements*The Workmatters Institute is a 12-month program that starts with 4 months of weekly evening meetings, a monthly Saturday event and about two hours of reading/reflection each week. Please describe how you plan to make space in your schedule to be successful in the program.Financial Assistance*The standard tuition is $1,000, which covers all materials and expenses. Are you planning on applying for need-based financial assistance?*Please select an optionYesNoFinancial Assistance - More Detail*If yes, please explain. Workmatters will follow up with specific Financial Assistance materials. Character ReferenceYour character reference needs to be someone who can vouch for your character and spiritual maturity. Ideally this is someone who has insight into your spiritual leadership (pastor/elder, etc.)Character Reference First Name*Character Reference Last Name*Character Reference Email* Character Reference Phone* Work/Supervisor ReferenceYour work reference can be from a past (within last two years) or present employer and should be someone who can speak to your professional life and contributions.Work/Supervisor Reference First Name*Work/Supervisor Reference Last Name*Work/Supervisor Reference Email* Work/Supervisor Reference Phone* Why are you applying to the Workmatters Institute? If selected, what do you hope to get out of the program?* Please discuss where you are in your faith journey. What are some of the significant spiritual milestones in your life? Please provide an overview of your faith journey including where you are now.* Please describe where you are in your career. What have you learned about yourself in your career so far? Where do you see yourself professionally in the next five years?*NameThis field is for validation purposes and should be left unchanged.
