The Timothy Project 2024 
YOUTH DISCIPLESHIP & LEADERSHIP PROGRAM 
Orientation: June 9, 2024
Program Duration: July 7- September 1, 2024
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Full Names *
Address *
Email *
Phone Number
What are your top three interests or hobbies? *
What describes your ethnicity?
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Do you have an interest in expressing/sharing your faith in your community ? *
If yes, what is one thing you would like to do if given the opportunity? *
If no, what do you think can be done to make a difference? *
How often do you read/study the Bible? *
What do you expect to gain from this program? *
Are you willing to commit 3 hours of your time on Sundays in July and August to participate actively in our meetings? *
T-shirt Size  *
I will do the best I can to be present at all meetings and to participate by completing all assignments and being interactive during all sessions.

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Date *
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CHURCH INFORMATION 
In the section answer all questions as it relates to your church.
Church Name  *
Pastor’s Name  *
Church Address *
Pastor’s Email  *
Pastor’s Phone Number *
PARENT/GUARDIAN SECTION
Parent/Guardian please complete this section
Parent’s Names *
Parents Email *
Parents Phone Number *
What do you consider to be your son/daughter’s strengths? *
What do you expect your son/daughter to gain from participating in The Timothy Project? *
I give permission for my son/daughter to participate in The Timothy Engagement & Leadership Project. I will support my son/daughter through the 1 year period to ensure that he/she is able to complete the program.

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Date *
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