Application 2016

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Leaders for Christ Training Center · Grandville Owned and Operated by: Resurrection Life Full Gospel Church · 5100 Ivanrest Ave SW · Grandville MI 49418 · Phone (616) 261-3782 · fax (616) 534-6361

$25.00 non-refundable application fee Cash, Check, or Online ____________

Application for Admission Please type or print GENERAL INFORMATION Today’s Date ____/_____/____ Social Security Number:

________-________-_______

Name: ________________________________________________________________________________________________________ LAST

FIRST

MIDDLE INITIAL

U.S. Citizen: Yes ____ No ____ If no, what nationality? _______________ Please include Visa Number: ______________________ Birth date: ________/_________/________ Age: ______ Gender: Male________ Female_______ Marital Status (circle one)

Single

Married

Widowed

Contact Information: Address: ___________________________________________________________________________________________________________ NUMBER AND STREET

Phone: ( ________ ) _________________________ HOME

CITY

STATE

ZIP

( ________) ________________________ WORK

E-mail: ______________________________________________________________________________________________________________ How did you hear about the LFCTC? ________________________________________________________________________________________________________________________

PERSONAL INFORMATION: Where do you attend Church?________________________________________________________ ________________________________________________________________________________________________ PHONE CITY STATE ZIP

Name of Pastor ___________________________________________ Have you accepted Christ as your Savior? Yes____ No____ Briefly state your testimony and/or personal experiences that have significantly influenced your life? ________________________________________________________________________________ ________________________________________________________________________________

PERSONAL INFORMATION CONTINUED: Please list your ministry experience if any: ______________________________________________________ _______________________________________________________________________________________________

Are you involved in ministry right now? Yes____ No____ If so, in what capacity? ____________________________________________________________________________________________

EDUCATION BACKGROUND Please list your education history: YEAR GRADUATED

NAME OF SCHOOL OR TRAINING PROGRAM

DEGREE

CITY/STATE

1.______________________________________________________________________________________________ 2.______________________________________________________________________________________________ 3.______________________________________________________________________________________________

REFERENCES: 1. Pastoral Reference: ____________________________________________________________________________________________ NAME OF PASTOR PHONE ____________________________________________________________________________________________ NAME OF CHURCH ADDRESS CITY, STATE, ZIP 2. Personal Reference:__________________________________________________________________________ NAME AND RELATIONSHIP PHONE ____________________________________________________________________________________________ ADDRESS CITY, STATE, ZIP

Student Payment Plan (see catalog for explanation) One payment for all Five Trimesters ___________

By individual Trimesters ___________

*The tuition paid by the applicant shall be refunded if the applicant is rejected by the school before class begins. Tuition will not be refunded to any student who withdraws after the start of classes or is dismissed due to misconduct.

Leaders for Christ Training Center- OBJECTIVES AND STANDARDS Leader for Christ Training Center-Grandville exists for the purpose of providing training in the Word of God for Christian discipleship and Christian leadership. Your signature below will acknowledge that: 1. The information contained in this application is true, to the best of your knowledge. 2. You realize that all records will be available for review by the Michigan Department of Career Development. 3. You will commit yourself to a life-style that is consistent with Biblical principles. 4. You have read the catalog and are in agreement with the operating policies of Leaders for Christ Training Center-Grandville. 5. You will respect your fellow students/faculty using edifying words and demonstration of the Fruit of the Spirit.

Signature of Student: _______________________________________________ Date __________ Signature of School: ________________________________________________ Date __________

Office Use Only: Trimester # student will be entering ____________________________________________________ Cost: ____________________ Student will aend from: _________________________________________________ Through ____________________________________________