Name:
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First Name
Last Name
Address:
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone:
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Email:
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Gender
*
Marital Status:
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If married, will your spouse be attending our school?
Date of birth:
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MM
DD
YYYY
What is your country of citizenship?
*
English fluency level
*
Do you consider yourself a follower of Jesus? If so, how long have you been active in your Christian faith?
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Briefly describe your journey with the Holy Spirit.
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Are you currently active in a faith community/ church?
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How long have you been active there and what is your role?
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Name of your home church/ community
*
Your pastor's name
*
Your church's address and phone number
*
Are you ordained? If so, for how long and in which denomination?
*
What is your education level? List academic institutions, ministry schools, degrees or certificates completed.
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What is your present context of ministry involvement?
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Name and location of ministry
*
Years of involvement and role in current ministry assignment
*
Are you currently ministering in a context that involves people on the margins and/or an un-reached or under-reached people?
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What are the most pressing theological and spiritual challenges you are facing?
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State other Christian ministry you have done. Briefly describe your ministry experience.
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How do you see yourself benefitting from this class?
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How did you hear about this class?
*
Acceptance into the school requires attendance to all 3 five-day courses. Do you agree to attend the following: March 17-21st, 2015; November 10-14th, 2015 and March 15-19th, 2016.
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Briefly, what are your plans after the class?
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Do you have a history of physical impairments, handicaps or health conditions that require special attention?
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Do you have any special dietary needs or food allergies? Please specify as we will be serving a meal.
*
Please complete a 400-500 word testimony of your life. Please include: When and how did your conversion to Jesus change your life; describe your spiritual growth; your devotional life; and your personal calling now.
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Please explain any leadership roles/ experience including how long you were in each position.
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Occupation
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Present employer
*
Work phone number:
*
How do you plan to pay for your educational expenses?
*
Friend's name:
*
Friend's email:
*
Friend's phone number:
*
Pastor's name:
*
Pastor's email:
*
Pastor's phone number:
*
