2015-2016 Application
APPLICATION FOR ADMISSION
NOTE: Complete applications must be accompanied by an application fee of $50.00 (non-refundable) which
should be mailed or returned to: Calvary Assembly of God 1199 Clay St Winter Park, FL 32789
PERSONAL INFORMATION
Full Name
_____________________________________________________________________
Last
First
Middle
Preferred Name ______________________
Gender
Male
Female
Birthdate: ____/____/________
MONTH
DAY
YEAR
Mailing
Address_________________________________________________________________
Number and Street
City
State
ZIP
Physical
Address________________________________________________________________
Number and Street
City
State
ZIP
Phone (____) _____________________ Email Address________________________
Are you a U.S. Citizen?
Yes
No
If no, what is your current U.S. immigration status? ________________________
Country of Birth _________________
Country of Citizenship _________________
CHURCH BACKGROUND INFORMATION
Name of current Church/Christian Organization________________________________
Denomination _________________________
Phone (_____) ________________
Mailing Address
________________________________________________________________
Number and Street
City
State
ZIP
Name of Senior Pastor _____________________________________________________
Name of Pastor on staff you have the closest relationship with_____________________
How long have you been involved in this church? _______________________________
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If less than one year, what church were you involved in previously? _________________
Please list any other churches you have been involved with within the past 10 years
________________________________________________________________________
________________________________________________________________________
LIFESTYLE
Age/year when you accepted Jesus Christ as your personal Lord and Savior ___________
Age/Year when you were Water Baptized _______________________
Have you received the baptism of the Holy Spirit? _________
Please list any ministry experiences/positions you have held, both inside and outside the
church
________________________________________________________________________
________________________________________________________________________
Is there anything in your life that might come up as a questionable issue?
Yes
No
(If yes, please explain.)
________________________________________________________________________
________________________________________________________________________
Do you or have you ever used illegal drugs?
Yes
No (If yes, explain)
________________________________________________________________________
Have you ever been convicted of a felony?
Yes
No
(If yes, please explain in detail)
________________________________________________________________________
________________________________________________________________________
FINANCIAL
How will you pay for your tuition? ____________________________________________
Do you see any reason why you would not have the required tuition fees by the
required dates?
Yes
No
If yes, please explain why and how you plan to make your tuition payment.
________________________________________________________________________
________________________________________________________________________
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List the current amount of current debts, loans, or payments owed
________________________________________________________________________
Will these be paid off by the time you enter Calvary Life College? Yes
No
If not, how do you plan to make these payments? _______________________________
Do you currently own a vehicle?
Yes
No
Do you currently have automobile insurance for your vehicle?
Yes
No
EMPLOYMENT
Are you currently employed?
Full-time
Part-time
Hours per week __________
Place of employment ______________________________________________________
Position _____________________________ Work phone (___) ___________________
How long have you worked there? _________________________
Describe your job responsibilities and your relationship with your supervisor and coworkers
________________________________________________________________________
________________________________________________________________________
Secondary place of employment (if applicable) __________________________________
Position _____________________________ Work phone (___) ___________________
How long have you worked there? ________________
Describe your job responsibilities and your relationship with your supervisor and coworkers
________________________________________________________________________
________________________________________________________________________
Please list your past employment, include military service and periods of unemployment
Position
Start Date
End Date
________________________________________________________________________
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________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
EDUCATION
Check that which applies regarding your educational status:
High school (If so, what year) __________________
College (If so, what year) ______________________
Check that which applies regarding your educational background:
High School graduate
College graduate
Some college (If so, what year completed) _____________________
Please list in chronological order, all high schools, colleges, or professional schools that
you are attending or have attended.
Institution
City, State, Zip
Dates of Attendance (mo/yr)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Date of College Graduation (mo/yr) _______/________ GPA _____________
Date of College Graduation (mo/yr) _______/________ GPA _____________
ACT Score ___________________ SAT Score _______________________
FAMILY INFORMATION
Marital Status:
Married
Single
Divorced
Widow(er)
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Number of children (if any): ______________
If you are single, complete this portion:
Father/Guardian’s name____________________________________________________
Last
First
Middle
Address _________________________________________________________________
Number and Street
City
State
ZIP
Home Phone (_____) __________________ Work Phone (_____) __________________
Email Address ____________________________________________________________
Mother/Guardian’s name ________________________________________________
Last
First
Middle
Address ________________________________________________________________
Number and Street
City
State
ZIP
Home Phone (_____) __________________ Work Phone (_____) __________________
Email Address ____________________________________________________________
MINISTRY TRACK
Ministry Tracks are an integral part of Calvary Life College. While there will be an
interview process once you are on campus we would like to know which tracks you are
interested in now. Please choose two ministry tracks you are interested in, placing a
number one by your first choice and a number two by your second choice.
____ Worship
____ Youth Ministry
____ Children’s Ministry
____ Missions/Outreach
____ Pastoral Ministry
____ Media
Describe why you are interested in your first and second areas of ministry and what
skills you possess in these areas:
________________________________________________________________________
________________________________________________________________________
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________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
REFERENCES
Please give three references (may not be a family member) of people who are well
acquainted with you. These must be different from your Pastoral Recommendation.
Name ___________________ Relation ______________ Phone (____)______________
Name ___________________ Relation ______________ Phone (____)______________
Name ___________________ Relation ______________ Phone (____)______________
Applicant’s Name:_______________________
PASTORAL REFERENCE
PASTORAL INFORMATION
Name___________________________________________________________________
Church ______________________________ Position ____________________________
Address_________________________________________________________________
Number and Street
City
State
ZIP
Phone (____) _____________________ Email Address___________________________
SECTION 2: PLEASE ANSWER THE FOLLOWING QUESTIONS
How well do you know the applicant? Very Well
Well
Casually
Does the applicant know Christ as personal Savior and Lord? Yes No
Does the applicant demonstrate Christ in his/her lifestyle? Yes No
Please describe: In your association with the applicant what has been the level of
commitment you have seen exemplified? Faithful Inconsistent Other
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Describe the applicant’s leadership ability:
Prefers to follow Makes some effort to lead Good ability Exceptional ability
What are the applicant’s strong points (include special abilities)?
________________________________________________________________________
________________________________________________________________________
PASTORAL APPROVAL
Do you fully approve of the applicant enrolling at Calvary Life College? Yes No
Comments (Please describe any reservations or concerns):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Signature ________________________________________Date____________________
Thank you for completing this recommendation form. Please keep this form confidential and mail it directly to Life
Leadership College at W164 N11325 Squire Drive Suite 5A Germantown, WI 53022 or fax it to us at 262-251-0757.
Please contact us with any further questions or comments at 262-251-5050.
BACKGROUND CHECK RELEASE
In connection with my application, I authorize Calvary Life College, or their agent, to
solicit background information relative to my criminal record history. I understand that
Life Leadership College may conduct inquiries into my background that may include
criminal records, Personal references and other public record reports pertaining to me.
I authorize without reservation any persons, agency, or other entity contacted by
Calvary Life College, or their agent, for purposes of obtaining background report
information, to furnish the above mentioned information.
I release Calvary Life College, their respective employees, or their agent and employees,
and all persons, agencies and entities providing information or reports about me from
any and all liability arising out of furnishing any such information or reports.
Social Security Number ________-_____-________
Signature_________________________________________Date___________________
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