Have you been accepted into Southern Adventist University and have received a student ID number? Yes No You must fill out the credit application. General Information First Name Middle Name Last Name Gender Male Female Date of Birth Address Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Country - None -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email Home Phone Cell Phone Is English your first language? Yes No Please list any language(s) in addition to English that you speak fluently. Are you a U.S. Citizen? Yes No Are you eligible to work and/or study in the U.S.? Yes No Marital Status - Select -SingleMarriedDivorcedWidowed Do you have children? Yes No Academic History High School Education Level - Select -High SchoolAssociate DegreeGraduate or Professional DegreeSome College H.S. Graduation Year/GED Completion Year Housing Information Audit students are responsible for finding their own accommodations. Information about available places can be found on the notice board next to Village Market. SAU housing maybe available once you have been accepted into the SALT program. Spiritual Information Church Affiliation Are you a baptized member? Yes No Baptismal Date (or approximate) Local Church Membership Name of Pastor Pastor's Phone Number How did you find out about the SALT program? What is your main objective in participating in SALT? Define/Describe your present spiritual condition Rate your understanding of the fundamental beliefs of the Seventh-day Adventist Church 1 - No understanding 2 - Low understanding 3 - General understanding 4 - High understanding 5 - Complete understanding Are you in agreement with them? Yes No Have you ever done door-to-door ministry? Yes No Please describe any previous training and/or experience in soul-winning Mission Trip Information Part of being in the SALT program is taking part in a mission trip. This year the trip will be from Nov 22-Dec 2. To travel internationally you must carry a valid passport with an expiration date at least six months beyond service completion date. Do you have a passport that fits this criteria? Yes No Passport expiration date What country is your passport from? - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Do you have the necessary travel documents to travel outside the U.S.? Yes No On a scale of 1-10 (1 being the weakest and 10 being the strongest), how would you rate your skill of preaching? - Select -12345678910 Please explain areas of preaching that you would like to improve on. Do you have health issues that will require attention in the mission field? Yes No Please explain your health issues. References I give up my right to review this reference once it is completed. Yes No Reference 1 Reference 1 Name Reference 1 Email Reference 1 Phone Number Reference 1 Relation To You How long have you known Reference 1? Reference 2 Reference 2 Name Reference 2 Email Reference 2 Phone Number Reference 2 Relation to You How long have you known Reference 2? Reference 3 Reference 3 Name Reference 3 Email Reference 3 Phone Number Reference 3 Relation to You How long have you known Reference 3? Reference 4 Reference 4 Name Reference 4 Email Reference 4 Phone Number Reference 4 Relation to You How long have you known Reference 4? Reference 5 Reference 5 Name Reference 5 Email Reference 5 Phone Number Reference 5 Relation to You How long have you known Reference 5? Note: Your references will receive a recommendation evaluation from us. Only when we have received all evaluation sheets from your references will we be able to complete your application. If they do not see the email, have them check their spam folder. Previous Employer Name | Dates of Employment | Position/Responsibilities Other Information List any leadership experience you have had List any unique skills (e.g. musical, public speaking) you possess List any experience(s) in personal witnessing and evangelism How do your parents/guardians feel about you taking the SALT program? Do you believe they would be overly concerned about your well-being? On a scale of 1-10 (1 being the weakest and 10 being the strongest), how would you rate your level of self-discipline? - Select -12345678910 What strength(s) or spiritual gift(s) do you have that will help you during your time here at SALT? What weakness(es) do you perceive will hinder your success as a SALT student? Is there anything holding you back from fully committing to be a SALT student? As specifically as possible, describe your devotional life over the past 14 days Do you have a registered and insured vehicle available for your transportation? Yes No Are you willing to have others carpool with you for outreach? Yes No Have you ever been convicted of a crime other than a traffic violation? Standards Share your personal standard on the following topics. Please do not just answer yes or no. Explain your views. Clothing Dancing Music Movies Alcohol/Drugs Pornography Homosexuality Gender Sabbath School/Church Attendance Jewelry Sabbath Observance Door to Door Work Do you have any additional questions for us? What is your t-shirt size? Applicant's Signature I give permission for Southern Adventist University to release information from this application for assistance in placing me in a local church for my Bible work practicum. I understand that the salt program is a full-time, semester-long program and is not designed to be combined with other classes or work commitments. I will commit myself to this program and, by God's grace, will endeavor to fulfill my duties to the best of my abilities. I certify that all of the information that I have supplied on this application is true and correct. I realize that falsification of any information I provide to Southern Adventist University is grounds for dismissal from the program. By signing below I wish to verify this application. I realize that by clicking "Submit" I am applying to the Soul-winning and Leadership Training program. (Note: This is NOT a general application to Southern Adventist University). Sign above
