HOPE is a ministry of
Jefferson Street Baptist Center
733 East Jefferson Street | Louisville, KY 40203
CONTACT US
Email: hope@jeffersonstreet.orgPhone: 502.584.6543
Fax: 502.584.4377
NOTE: Before completing the first part of this application, it may be helpful to read the ESSAY QUESTIONS at the bottom of this application, so that the application can be completed without losing information.
First Name
Last Name
Birthday* (MM/DD/YYYY)
Male or Female
Ethnic Heritage
*HOPE participants must be between the ages of 18 to 29.
Mailing Address: To Receive Acceptance Packet
Street
City
State
Zip
Country
Current Phone #
Mobile Phone #
Don't Send Mail Here After
Email
Preferred Method of Contact
Summer Mailing Address: After Semester Ends
Summer Email
Use this Address Beginning
Summer Phone #
Country
Zip
State
City
Street
Which program are you applying for?
School
Years in School
Major
Place of Employment
Years in Company
Title
How did you find out about HOPE?
What or Who Motivated you to Apply?
Are you available for the full length of the program? (Summer Program - late May through mid August; Full Year Program - early September through mid August)
If necessary, are you able to travel to Louisville for an interview?
Are you interested in visiting us in Louisville?
In one or two sentences, what is your favorite "secular" movie and why?
Complete this sentence: "I think others would describe me as..."
In one or two sentences, what is your favorite "Christian" book (besides the Bible) and why?
Church Questions
Briefly describe the church with which you are most actively involved. If you have no church, please explain why.
Church
Pastor
How long have you been with this church?
Are there any specific Christian denominations or worship styles that you are uncomfortable with?
Wellness Questions
Do you have or have you had any significant physical conditions or special limitations (climate, diet, exercise, stamina, eating disorder, depression, prescription medication)?
If YES, please explain (When? For how long? Is this a current condition? If not, when did it end?). Also include the name and phone number of your attending physician.
Have you ever seen a counselor or therapist for any reason (including addiction)?
If YES, when and for what?
Regardless of counseling, have you ever suffered any type of abuse? If so, when? How have you dealt with/been dealing with it?
Are you presently involved in a dating relationship?
If YES, how long have you been involved? Is it serious? How do you think Mission Year will affect this relationship?
Have you ever had an arrest for any violation that resulted in a conviction, a plea of guilty, or no contest, probation, community service, a summary report, or some other form of adjudication (other than a minor traffic violation)? Also, do you have any pending charges or are you under any type of legal investigation?
If YES, please explain.
Have you ever been accused of any kind of abusive behavior? If so, when, by who, and for what?
If YES, please explain.
Self Evaluation
Rate yourself in the following areas on a scale of 1 (lowest) to 5 (highest).
Sense of Humor
Self-confidence
Humility
Sensitivity to others
Tolerance of Christians who practice faith differently
Motivation to serve people in need
Ability to work hard
Flexibility
Teachability; openness to new ideas/other's input
Current involvement in ministry
Passion for Justice
Familiarity in Urban Ministry
Ability to establish healthy, meaningful relationships
Some good friends taught us this one. Normally we ask you to draw a picture of yourself from an eight-year-old perspective but since you can't do that online, we'll take a poem about yourself from an eight-year-old perspective instead.
EXAMPLE
I love to swim and read and laugh
but I don't like to take a bath
I'm the oldest sis of three
who likes hip hop but not country
Please write two to three paragraphs for each of the 5 questions that follow.
To make sure your information is not lost in the process of completing this form, follow these instructions. Complete the answers to the questions below in your own word processor. Spell check, then select the text for each question separately, GO TO: EDIT > COPY (PC="ctrl + C", MAC="Apple + C") then click the cursor in the online form and GO TO: EDIT > PASTE (PC="ctrl + V", MAC="Apple + V").
1. Tell when and how you became a Christian and what's been happening lately in your relationship with God. Be sure to include a description of your involvement in Christian fellowship and ministry to others over the past few years.
2. Describe one significant (human) relationship you have (or had in the past) and how it has affected your life.
3. Describe a very stressful experience you have had and how you dealt with it.
4. Why do you want to be a HOPE Team Member? What do you hope to gain from the experience?
5. What most excites you about living in the city and building relationships with the urban poor? What about this most worries you?
6. Briefly describe the basics of Christianity. Describe it as if you are talking with someone who knows nothing about Christianity.
7. What is the Gospel and what is its impact on your life?
Please add any other information we should know in order to fairly process your application.
Please choose two references from the following list: your pastor/spiritual leader, a supervisor, teacher, mentor, or other significant adult (non-peer, non-family; this should be someone who has seen you in a variety of settings). References can fill out the form HERE or CONTACT HOPE to receive a hard copy. We cannot proceed with the interviewing process until we receive both of your references. Please provide us with information below for the references that you will be contacting.
Reference 1
Reference 1 Name
Reference 1 Type
Reference 1 Email
Reference 1 Phone
Reference 2
Reference 2 Name
Reference 2 Type
Reference 2 Email
Reference 2 Phone
List the names of any HOPE alumni you know or have had contact with.
To the extent of my knowledge, the information on this application is truthful and accurate. I understand that background checks revealing undisclosed evidence of criminal activity and/or child abuse will disqualify me from consideration for HOPE. By means of this release I authorize HOPE/Jefferson Street Baptist Center to make inquiries about me with the people listed in this application.
Name
