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European Residents


We collect personal information to be used in evaluating all applicants to our program. Due to the adventurous and religious nature of our program, this personal information may include: contact information, medical history information, school information, personal history, and personal beliefs, among other things. If you do not feel comfortable filling out this application and freely providing this information, please contact Emily at emily@cafe1040.com

‚Ä®Please also note that at any time during the application process you may request for your information to be removed from our system!  If you are not accepted to our program, your application data will be deleted from our system after 4 years.
BASIC INFORMATION






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SOURCE
 How did you hear about us?














Did you hear about Cafe 1040 from any other sources (not listed above)? 













PROGRAM


Depending on the semester, some base locations are not going to be available. 

The following semesters will be available based on your location preference. 





PERSONAL DETAILS



Passport
***You are required to have a current passport valid 6 months after your RETURN date. If you don't have one or it's expiring soon, start the process of applying for a new one NOW! 


If you don't know, try to find out soon!
Overseas Travel

Social Media




BACKGROUND



PROGRAM DETAILS







ADDRESS



Best Current Mailing Address






Best Current Mailing Address







EDUCATION













WELLNESS






SPIRITUAL



Church Information




PERSONAL

STATEMENT OF FAITH



MARITAL STATUS


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LIFE STAGE


PARENT INFORMATION
*We will not contact your parents without your permission first.









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PARENT 2 INFORMATION









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REFERENCES

REFERENCE 1

We may call a reference during your process to help us determine how to best serve you. This is a person who you consider a personal spiritual mentor, discipler, or pastor. 





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REFERENCE 2




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