Residence Application Form

Applicant's Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Birthdate (mm/dd/yy): *

Gender *

Religious Congregation (and Denomination, if known) *

EMERGENCY CONTACT PERSON: *

First

Last

Phone Number *

Relationship to applicant *

Dietary restrictions or personal dietary practices that influence food choices: *

Medical/Physical/Psychological conditions that impact day to day living or that we need to be aware of: *

Character Reference #1:

Name *

First

Last

Occupation: *

Relationship to you: *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Character Reference #2:

Name *

First

Last

Occupation: *

Relationship to you: *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Essay Questions:

Statement of Character: *

In 200-350 words, please answer the following questions:

Describe your personal character;
Share with us a bit about your spiritual journey;
Share what you like to do in your free time -- your hobbies and interests; and
Share what you have done since high school (if you are not currently attending).

Statement of Purpose *

In 200-350 words, please answer the following questions:

Why are you choosing to attend the University or College you have decided upon?
What are your future vocational goals and interests?
Please write a paragraph describing why you desire to be part of the Emmaus House Community and how you see yourself benefiting from and contributing to the community here.

Expectations:

Community Expectations:
Staying at the Emmaus House involves living in close proximity with others. In addition, there are community meals, events and shared cleaning tasks in which you will be expected to participate. The community atmosphere is great to live in, but it depends on the involvement of all residents. By applying to the Emmaus House, you are committing yourself to participation in these community-building activities. Since Emmaus House is an intentional Christian community house, we expect you to:

contribute 30 minutes a week for cleaning tasks in shared common areas,
participate in planning, preparing, serving and cleaning up one evening (6:00 pm) meal per week, and your own breakfast/lunch,
participate in house meetings and service projects as determined by the community,
live and pay rent at the House for the entire application term,
remunerate expenses related to damage caused by personal actions (other than normal wear and tear).

Community Covenant:
Because I care about myself and the Emmaus Community, I agree to these five personal commitments:

To Work Together with the community in order to achieve both my own goals as God’s child and the goals of the Emmaus community.
To Be Safe, Emotionally and Physically - To take care of myself and my community’s physical and emotional safety. This includes having a positive attitude, respecting each other, avoiding destructive behaviour, and observing the community guidelines.
To Communicate - To give & receive honest feedback by listening to what others have to say to me and telling others what I am thinking and feeling too.
To Grow - To commit to the pursuit of a personal relationship with God. To learn new things and to step out of my comfort zone and take appropriate risks that I can learn from.
To Fully Engage In Each Area of Community

Academically: to create and maintain a supportive learning environment,
Spiritually: weekly meeting times and through informal support,
Healthy living: in my personal choices and in community
Service to those around us: collectively or individually as decided by the group,
Fun: in my personal attitudes and in participating in social events as determined by the community.