TFAVS Application

Please indicate which conference you would be able to attend:

Waxahachie, Texas
March 12- 15, 2009

Acton University
June 16-19, 2009

Items in red are required

Student Information	Salutation:
	First Name:
	Middle Initial:
	Last Name:

Mailing Address	Address:
	City:
	State:
	Zip:
	Country:
	Address Valid Until:
	Phone:
	Email:

Alternate Address Information	Address:
	City:
	State:
	Zip:
	Country:
	Phone:
	Address Valid Until:

Personal Information	Marital Status:
	Sex:
	Date of Birth:
	Country of Birth:
	Religious Affiliation:
	Have you participated in other Acton programs? Yes No
	How did you hear about Toward a Free and Virtuous Society conferences?
	For marketing purposes would you please list what magazines, journals, or publications you read on a regular basis:
	If you were referred to us by a professor, please give us the following information about him/her:
	Salutation:
	First Name:
	Last Name:
	School:

Education	What type of degree are you currently pursuing?
	Area of concentration:
	College/University/Seminary:
	Expected Graduation Date:
	Please list degrees you have earned since high school:
	Organizations/Honors/Awards:
	What are your future educational and professional plans?
	Do you hope to be ordained?
	Please briefly describe how you are now and in what ways you expect to be an influential voice in society on the integration of economic principles and morality?

Two Academic References

QUESTIONS? Contact Kara Eagle at (616) 454-3080 or keagle@acton.org.