2022/23 Application Form

Fill in the form below to apply. Your entries will be saved in this browser until you submit the form (use an incognito window if you don't want your entries saved across sessions). We understand the questions below are personal and sensitive. They will help us understand how we might best encourage the work of the Spirit of God in you. We receive them as a gift and treat them in confidence and as precious. If you have questions we invite you to use our chat feature, email, or call.

I'm applying for:

KURIOS 22/23
KURIOS 23/24

Personal Info

First Name
Last Name
Email
Phone
Sex	Male Female
Birth Date	,

Street Address
City
Province
Postal Code
Country
Home Church

Health Info

Describe your state of physical fitness:*

Detail any health conditions that could impact your participation in Kurios (including allergies):*

Which mental and/or emotional health challenges have you experienced and how have you dealt with them?*

Please list all prescription medications you regularly take:*

Last Physical Check up with Doctor (month/year):

Parent/Guardian 1

Name
Phone
Email
Relationship

Parent/Guardian 2

Name
Phone
Email
Relationship

Other Emergency Contact

Name
Phone
Email

Travel Info

Note: if you don't have a current, valid passport, you will need to acquire one so you can travel to Guatemala. You may submit this application without this information but we will need it as soon as possible.

Country of Citizenship
Passport Number
Passport Expiry

Education and Employment History

High School
Graduation Year
College/Other
Graduation Year

What jobs/volunteer experiences have you had, and what were your responsibilities (max 450 words)?

Your Story

Share with us a bit about your faith journey (max 450 words)*

What are your current practices of prayer, Bible reading, worship, and service? (max 450 words)*

How do you see Kurios impacting the next part of your faith journey? (max 450 words)*

References

Please list three personal references, one of whom should be your Pastor or Christian leader who knows you well.

Reference 1 Name
Relationship
Email
Phone

Reference 2 Name
Relationship
Email
Phone

Reference 3 Name
Relationship
Email
Phone

Disclaimer and Signature

The information in this application is confidential and will be carefully handled in accordance with the CBWC Privacy Policy. Relevant information in this application will be shared with Canadian Baptist Ministries to facilitate our experience in Guatemala.

I certify that my answers are true and complete to the best of my knowledge.

I recognize that Kurios is designed for people who earnestly desire to seek Jesus as Lord over all areas of life, and I accept that living in a Christian community brings both privileges and obligations. Therefore, as a Kurios participant, I am committed to the moral and spiritual values reflected in the Bible and through Christ. Through my relationship with Jesus, and through the workings of the Holy Spirit, I will seek to exhibit the Fruit of the Spirit: love, joy, peace, patience, kindness, goodness, faithfulness, gentleness, and self-control (Gal 5:22-23).

I agree that Kurios and the CBWC may use my picture or likeness in connection with any promotion, publicity, marketing or advertisement for Kurios.

I understand that prior to being admitted into Kurios I will provide additional documents (such as copies of passport, drivers license, signed liability waivers, etc) as requested.

Signature (type full name): * Date: *

Typing your name on the signature line and then submitting this application through our website is regarded as having been signed by the individual named as the applicant.

A CBWC Gap Year Experience