Repouring Project Scholarship Application

Repouring Program Scholarship Application *

First

Last

Email *

Phone Number *

Preferred Method of Contact *

Phone Email Other

If you chose "other," please explain: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

I affirm that I am over 18 years old: *

Yes No

ELIGIBILITY CONFIRMATION

“The Repouring Project Scholarship” is specifically designed for survivors of human trafficking, long-term severe abuse,
or long-term domestic oppression.

Please check the box that applies to your situation: *

Survivor of human trafficking Survivor of severe, long-term domestic abuse Survivor of long-term domestic oppression Survivor of long-term childhood abuse Other similar circumstances (If selected, you may provide additional information in your personal statement)

EDUCATION BACKGROUND

COUNSELING & HEALING JOURNEY

Have you received counseling or other form of therapy? *

Yes No

If "Yes," for approximately how long? *

Less than 6 months 6 months to 1 year 1-2 years 2+ years

Have you previously participated in any counseling or ministry training? *

Yes No

If "Yes," please describe briefly: *

PERSONAL STATEMENT

Please share your story and why you want to become a Certified Biblical Counselor. Your statement ought to address the following points:

Your personal journey of healing
Why you feel called to help others through biblical counseling
How you believe your experiences can help qualify you to counsel others with similar backgrounds
How you hope to make use of your certification

You may email additional pages if needed. This statement is an important part of your application, but please only share what you feel comfortable disclosing at this time. (email additional pages to [email protected])

REFERENCES

Please provide two references who can speak to your character, spiritual maturity, and readiness for this program. These need to be individuals who know you well but are not immediate family members.

Please be advised that we may contact your references as part of the application review process

SPIRITUAL BACKGROUND

Are you currently involved in a church or faith community? *

Yes No

If "Yes," please provide:

Church/Community Name *

How long have you been attending? *

List any ministries you are invloved in: *

If "No," please explain briefly: *

Briefly describe your faith journey and how it has influenced your healing process: *

PROGRAM COMMITMENT

The Certified Biblical Counseling program at TILBC requires a significant time commitment for classes, study, and practical training.

Class Format Preference: *

Live-streamed classes Self-paced on-demand classes (subject to time limits, but more flexible than live-stream cohorts)

ARE YOU ABLE TO COMMIT TO THE FOLLOWING:

• Meeting all other requirements for credentialing upon acceptance to the program: *

Yes No

Do you have any concerns about your ability to complete the program? *

Yes No

ADDITIONAL SUPPORT NEEDS

We want to ensure your success in this program. Please indicate if you would benefit from any of the following support services:

I would benefit from (check all that apply): *

Reading/study skills assistance Technology assistance (computer access, internet, etc.) Assistance with required reading materials (Total cost for all 10 Modules is approximately $450 if purchased new) Other (please specifiy below)

Other support needed: *

SUBMISSION INFORMATION

Please submit your completed application by one of the following methods:

Click the "SUBMIT" button and this will be emailed to our Director.
or
MAIL TO: Truth in Love/Repouring
PO Box 516
Tustin, CA 92781-0516

NEXT STEPS

Our Director will review all applications. If his recommendation is in the affirmative, the scholarship committee will review it.
Selected applicants will be invited for an interview.
Final decisions will be communicated via email within 72 hours of the interview.
Approved candidates must complete the formal program application and registration process through our website.

AFFIRMATION

By typing my name below, I affirm that the information provided in this application is true and accurate to the best of my knowledge.

Thank you for your interest in The Repouring Project Scholarship. We recognize the courage it takes to apply for this program and are honored that you would share your journey with us.

Partners in the Gospel,
Truth in Love Biblical Counseling Leadership Team

The Repouring Project Scholarship Application
For Trafficking And Similar Survivors

PERSONAL INFORMATION

ELIGIBILITY CONFIRMATION

EDUCATION BACKGROUND

COUNSELING & HEALING JOURNEY

PERSONAL STATEMENT

REFERENCES

SPIRITUAL BACKGROUND

PROGRAM COMMITMENT

ADDITIONAL SUPPORT NEEDS

SUBMISSION INFORMATION

NEXT STEPS

AFFIRMATION

The Repouring Project Scholarship ApplicationFor Trafficking And Similar Survivors

PERSONAL INFORMATION

​ELIGIBILITY CONFIRMATION

EDUCATION BACKGROUND

COUNSELING & HEALING JOURNEY

PERSONAL STATEMENT

REFERENCES

​SPIRITUAL BACKGROUND

​PROGRAM COMMITMENT

​ADDITIONAL SUPPORT NEEDS

​SUBMISSION INFORMATION

NEXT STEPS

AFFIRMATION

The Repouring Project Scholarship Application
For Trafficking And Similar Survivors

ELIGIBILITY CONFIRMATION

SPIRITUAL BACKGROUND

PROGRAM COMMITMENT

ADDITIONAL SUPPORT NEEDS

SUBMISSION INFORMATION