We are excited that you are interested in serving at Regenerate Church. Please complete the application below and we'll contact you shortly.


Name *
Gender *
MaleFemale
Address *
City *
State *
Zip code *
E-mail *
Phone*
Birthday *
School
Is Regenerate Church your home church? *
YesNo
Which Regenerate Campus do you attend?
How many years have you attended Regenerate?
How many years have you been a Christian? *
Please explain how you became a Christian: *
What churches have you been a part of and for how long? *
Please indicate which day(s) you are available to serve at Regenerate Church:
Sunday
Are their any potential conflicts in your schedule that would interfere with your commitment? If yes, please list:
REFERENCES *
Reference #1
Reference #2