Apply to Immerse

This application form is in six parts (pages). You can scroll back and forth to view each page. Once you have begun to fill out the form you cannot save it so you will need to complete it in one sitting. On page three there are two boxes that will require essay type answers. Before you begin filling out other parts of the form you would be wise to have written out your responses to those two in a text document first (i.e. Word or Notepad etc.) and then copy and paste into the form. Please make sure you fill out every box accurately and completely.

Denominational Region or Ministry

Select a region or ministry area

Enter your personal information below:

First Name
Middle name or Initial
Last Name
Maiden Name (if applicable)
Spouse's Name (if applicable)
Street Address
Postal Code
Phone # (no spaces or dashes)
Email Address
Social Insurance Number
Birth Date
Marital Status
Have you ever been divorced?
If you answered Yes to the question about divorce please explain here:
Page 1


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Download the Statement of Faith

Download the Community Covenant Agreement

Download the Photo/Video Release Form
Note also our instructions for Student Photo Dimensions.