Immersion Experience Application Please enable JavaScript in your browser to complete this form.Dear Applicant Thank you for your interest in The Dream Center Esperanza Immersion Experience! Our purpose is to provide you with practical ministry training within the context of outreach ministry. If accepted, you will have the opportunity to work side by side with our ministry teams as they seek to bring holistic healing to both individuals and communities that have been degraded and devalued. Dream Center Esperanza’s purpose is to reconnect isolated people to God and a community of support by providing human and community services that address immediate and long-term needs in the areas of addiction, abuse, and poverty. Our desire is to build a community of resilient people whose lives have been redeemed by God’s love. The men, women and families we help also go on to share that love with others, to pass on the hope they have been given, and to make transformation possible for those in their respective communities. As part of the Immersion Experience, you will participate and further the vision and mission of Dream Center Esperanza by reconnecting isolated individuals and communities to a God who loves them--in a word, you will bring Heaven to Earth. The Immersion Experience is not a program. It is not clinical in its approach or structure. Rather, it is intentionally created to be an organic, raw, and holistic experience that will challenge you mentally and spiritually while also creating space for relationship, community, and rest. We dare to do great things because we serve the God of the impossible. Join us as we strive to bring Heaven, in all of its glory, to our broken and desperate world. Daniel & Yolanda Rivera Executive Directors Dream Center Esperanza Program Eligibility Applicants must be at least 18 years old and single (not married). *Because of space, we are not able to accommodate married couples or children IMPORTANT STEPS Complete & submit this online applicaion After submission, a link will be sent for the following Send non-refundable application fee of $50 Submit a Personal Testimony (250-1000 words) PERSONAL/CONTACT INFORMATION OF APPLICANTName *FirstLastEmail *Phone *LayoutDate of Birth *Age *Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryMarital Status *SingleMarriedSeperatedDivorcedWidowedPartneredHow do you describe your Spanish fluency? *I do NOT speak SpanishI do NOT speak SpanishI have a BASIC level of SpanishI have an INTERMEDIATE leve of SpanishI am FLUENT in SpanishAllergies (including food allergies)List any medical conditionsList any and all prescription medicationsEMERGENCY CONTACT INFORMATIONName *FirstLastLayoutEmail *Phone *Additional InformationWhat program are you applying for? *I am ONLY applying for the 3 month programI am applying for the 3 month program, but I am open to considering the full 10 month programI am applying for the 10 month programAll participants are required to start in our 3 month program before extending to our 10 month program. If approved, what is the earliest date you are able to arrive? *Have you previously applied to the Immersion Experience program? *YesNoLayoutWhen? *Were you accepted into the program? *YesNoDid you successfully complete the program? *YesNoHow did you hear about Dream Center Esperanza? *If you are a member of a church, please share the name, city, and denomination of the churchThe Dream Center Immersion Experience(s) provides an opportunity for participants to gain practical ministry training in outreach ministries. Please identify which experience you feel called to. *HomelessFood DistributionCookingKidsElderlyYouth/ Young AdultsIntercession/ PrayerCommunity Clean UpDiscipleship/Bible StudyEDUCATIONLayoutHigh SchoolDid you graduate?YesNoLayout (copy)College/University (undergraduate):Did you graduate?YesNoMajor/DegreeLayout (copy) (copy)College/University (graduate)Did you graduate?YesNoMajor/Degree MINISTRY EXPERIENCEWrite your personal testimony (no more than 1000 words)Are you a licensed minister? *YesNoWhere did you receive your credentials? *Have you participated in any other ministry training programs, bible schools, Master Commission, leadership schools, etc.? If so, please list, including approximate dates: *Have you ever participated in any mission trips or local outreaches? If so, please list, including approximate dates: *Have you ever been dismissed from any ministry or volunteer work? If so, please explain: *REFERENCESPROFESSIONAL REFERENCE This should be an employer or supervisor who knows you well but is not a relative. LayoutName *Phone *Relationship *Email *PASTORAL REFERENCE This may be a pastor, youth pastor, etc. OR ministry leader in your church who knows you well but is not a relative. Layout (copy)Name *Phone *Relationship *Email *EDUCATIONAL OR MENTOR REFERENCE This should be a teacher, professor, or mentor who knows you well but is not a relative. Layout (copy) (copy)Name *Phone *Relationship *Email *PROGRAM COSTSThe financial obligation for the Immersion Experience includes a monthly program fee of $___ (please see dreamcenteresperanza.org/immersion-experience ). The 3 month program MUST BE PAID IN FULL BEFORE ARRIVAL. Month to month payment of fee is approved after the completion of the 3 month program for the duration of the 10 month program. Bedding is NOT provided. Participants can bring their own or pay an additional $100 fee so that a NEW set of bedding (1 fitted sheet, 1 flat sheet, 1 pillow case, 1 pillow, 1 comforter, and 2 towels) may be purchased and ready upon their arrival. Please describe how you plan to pay for the program fees. Include fundraising, savings, parental support, or any other support you may have: *Is there anything you would like to be taken into consideration about your financial circumstances? *Please sign the applicatin and click SUBMIT. *Clear SignatureSubmit