Submerge Application
Please make sure you have 15-20 minutes to fill out this application before you begin as you can not save your answers and continue later. Be sure to have the phone number for the following references; friend, employer, pastor/spiritual leader. After you have successfully completed the application, click the link provided on the confirmation page to pay the $35 application fee.
Name *
Name
Sex *
Phone *
Phone
Address *
Address
Date of Birth *
Date of Birth
Have you ever:
Please check all that apply.
References
Please provide the following 3 references; friend, employer, pastor/spiritual leader.
Friend *
Friend
Friend Phone *
Friend Phone
Employer *
Employer
Employer Phone *
Employer Phone
Pastor/Spiritual Leader *
Pastor/Spiritual Leader
Pastor/Spiritual Leader Phone *
Pastor/Spiritual Leader Phone