1. religion and spirituality
2. christianity
3. catholicism

BACKGROUND SECTION
DEADLINE: MARCH 27, 2015
Background section:
This portion of the RCLI ‘16 application must be completed online.
CLICK HERE
to go to the online module for the Background section.
View Content of Background Section
To familiarize yourself with the content of this online section, please review the information
provided below and on the following pages. However, you must complete this section
online. (Most fields are required fields; they are labeled as such online.)
Contact Information
Full Name:
Preferred Name:
Street Address:
City, State:
Zip code:
Primary Email Address:
Alternate Email Address:
Primary Phone #:
Alternate Phone #:
Demographic Information
Locality of Residence:
Chesterfield County
City of Richmond
Goochland County
Other:
Hanover County
Henrico County
Powhatan County
NOTE: These pages are provided solely for informational
purposes. This Background portion of the application must
be completed online @ the RCLI application website.
Date of Birth (include year):
/
/
Gender:
Female
Race/Ethnicity:
Asian or Pacific Islander
Black or African-American
Hispanic or Latino/a
Native American
White or European-American
Multi-ethnic
Other:
Length of Time Living in
Richmond Region (the City or
its surrounding counties):
Male
< 2 years
At least 2 and up to 5 years
At least 5 and up to 10 years
10 or more years
Church Affiliation
Church Name:
Church Address:
Are You a Member?:
No
Yes
Denomination:
Anglican
Assembly of God
Baptist
Catholic
Church of Christ
Church of God in Christ
Other:
Episcopal
Lutheran
Methodist
Pentecostal
Presbyterian
Non-denominational
Professional and Educational Information
Current Employer:
Current Job Title:
Current Employer Category:
Business/Corporation
Education
Government
Nonprofit/Church
Self-employed
Other:
Other or Past Employment:
College/University Name (1):
Undergrad. Degree:
Completed?:
No
Yes
Course of Study:
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NOTE: These pages are provided solely for informational
purposes. This Background portion of the application must
be completed online @ the RCLI application website.
College/University Name (2):
Grad. Degree:
Completed?:
No
Yes
Course of Study:
Other Educational Experiences:
How did you hear about RCLI?
Church promotion
Community event
Current /former RCLI Class member
Facebook
Other:
Pastor or other minister
Print ad
Radio Advertisement
RCLI Website
Letter of Recommendation—DUE MARCH 27, 2015
A Letter of Recommendation is required from a church (or other ministry) leader who knows you well
and can offer insight into your FAITH and LEADERSHIP development. RCLI must receive this Letter of
Recommendation no later than March 27, 2015. The RCLI Recommendation Form (accessible at
www.RCLIweb.org) should be used in requesting your contact’s letter.
Please identify the individual that you expect will be submitting this Letter of Recommendation. (It is OK
if the Letter writer changes.)
Name:
Church/Ministry:
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