YEAR THREE APPLICATION

Please complete the following, if any changes have occurred since you registered for Year One.

Name

First Name

Last Name

Date of Birth

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Alternate Phone Number

(###)

###

####

Email Address

Marital Status

Single

Married

Divorced

Widowed

This is it! Stepping out and into it …

Indentify your desired study for Year Three:

Track 1 - General Leadership

Track 2 - Ministerial Leadership

Track 3 - Ministerial Ordination

Provide and explanation of how you plan to use your training from this track to broaden your leadership and/or ministry to further God's kingdom.

Once submitted you will be asked to proceed with your $75 non-refundable application fee.