APPLICATION FORM

Abundant Life School of Ministry(ALSOM) Application Form

Executive Diploma in Ministry Leadership

Personal Information

Full Name: *

Date of Birth: *

Gender: * Male Female

Phone Number: *

Email Address: *

Home Address: *

Emergency Contact Name: *

Emergency Contact Phone Number: *

Educational Background

Highest Level of Education Completed: High School College/University Degree Graduate Degree Other (formal ministry experience, etc)

Name of Most Recent School/Institution Attended:

Year of Graduation:

Ministry Experience

Are you currently involved in any ministry work? Yes No

Please briefly describe your call to ministry and why you want to attend ALSOM:

Program Interest

Why are you interested in the Executive Diploma in Ministry Leadership at ALSOM?

What do you hope to achieve through this program?

What area of ministry do you feel most called to?

References

Personal Reference #1

Name: *Relationship:Phone Number: *Email Address: *

Personal Reference #2

Name: *Relationship:Phone Number: *Email Address: *

Agreement and Signature

By submitting this application, I affirm that the information provided is accurate and complete. I understand that completing this application does not guarantee acceptance into the program. I agree to abide by the rules and guidelines set forth by the Abundant Life School of Ministry if accepted.