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Application Form

Please fill out the form below and pay your registration fee to begin the application process for the Faith Leadership Institute.

First Name *

Middle Initial *

Last Name *

Email Address *

Confirm Email Address *

Phone *

School Applying To: *School of Pastoral Training & Ministry DevelopmentSchool of Government & Public ServiceSchool of Business & EntrepreneurshipSchool of Economic Empowerment for WomenSchool of Leadership DevelopmentSchool of Community DevelopmentSchool of Healing & DeliveranceSchool of Prophetic MinistrySchool of Dreams & VisionsSchool of Pryer & Spiritual WarfareSchool of Family & Life Skills

Date you desire to start Faith Leadership Institute *

Personal Data

Current Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Mailing Address If Different than Above

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Birthdate *

Month *

Day *

Year *

Gender *MaleFemale

Country of Birth *

Applicant's Marital Status *Please write a brief explanation. Divorce, itself, will not hinder your acceptance as a student. If you area married applicant, or a single applicant with dependent children please fill out the "Student Family Form"

Have you ever been convicted of a misdemeanor or felony? *YesNo

If yes, when?

How did you fear learn about Faith Leadership Institute *

Parent Information

Father / Guardian Name *

LivingDeceased

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Mother / Guardian Name *

LivingDeceased

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Section Two

Educational InformationList senior high school and institutions of higher education in order of attendance, beginning with the most recent.

Name of School / Institution Attended

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Dates Attended

Graduation Date

Degrees Earned

If you do not have a high school diploma, do you have a high school equivalency diploma (GED) *If yes, please arrange for an official copy of your test scores to be sent to us.YesNo

If not, are you working toward receiving one?YesNo

List other colleges to which you have applied this semester, separating each one with a semicolon.

Church & Biographical Information

Are you a minister's child *YesNo

Are you a missionary's child *YesNo

Have you ever spent an extended amount of time living in another culture during your develoment years? If so, please write how long and where. *For the purpose of encouraging you in your progress as a FLI students, we try to identify certain aspects of your background and experience, such as cross-cultural exposure.

What is the denomination of your home church? *

When were you converted? *

Have you lived a consistent life since conversion? *YesNo

Have you received the baptism of the Holy Spirit? If yes, when? *

List the name and address of your home church and senior pastor.

Home Church *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Number of Years Attended *

Phone *

Senior Pastor Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Email Address *

Phone *

Military Information

If you are a veteran, please complete the following:

Dates of Service

Branch of Service

Highest Rank

Type of DischargeIf other, please explain.

Are you eligible for VA benefits?YesNo

If eligible for VA Benefits, please upload your Certificate of Eligibility, or other proof.

No file chosen

Section Three

Employment Information

Present Employer *Name of Company

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Phone *

Your title or type of work *

Number of years employed for the past five years *

List your employment for the last five years

Employer

City & State

Type of Work

Dates (From-To)

Section Four

Health Information

Upon receipt of your application, the Admissions office will send you a Health Report to be complted incompliance with Georgia State law.

Do you have physical or learning disabilities? *YesNo

If yes, please describe.

Interests, Activities & Experiences

Write the number of years that you have been involved in each activity.

Paid Staff

Youth group office

Student Council member

Drama team

Sunday School teacher

Church elder / deacon

Choir

Missionary service

Bible teacher

Church Volunteer

Home Group Leader

Band / Orchestra

Community Service Projects

List the community service projects you've been involved.

List other interest or hobbies.

References

List 3 references (Senior Pastor, Church Leader, Teacher or Employer), not related to you. If your parent is the senior pastor of your home church, an elder or church officer may act as the pastoral reference for you.

Senior Pastor Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone *

Email Address *

Church Leader Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Phone *

Email Address *

Teacher or Employer *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone *

Email Address *

Agreement

Consent *

Yes, I have read the rules of Faith Leadership Institute.

By typing my name below, if accepted, I agree to abide by the rules of Faith Leadership Institute *

Date of Application *

Month

Day

Year

Personal Statement

Name *

Personal Statement

Write an autobiographical sketch, including a brief description of each of the following items. Your response should be at least 500 words.

Home life and family background
Personal faith and salvation experience with Jesus Christ
Spiritual growth since conversion
Christian service in your local church and community
Reason for desiring to attend Faith Leadership Institute

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