APPLICATION FOR ADMISSION

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1 APPLICATION FOR ADMISSION Thank you for your interest in the Lifepoint Leadership College. If you have any questions, please contact our staff at Additional information is also available at Our application process focuses on understanding the individual and is designed to select those applicants who will thrive in the Leadership College. Our staff works closely with each applicant throughout the application and enrollment process. We carefully and prayerfully consider each application while making our decision. APPLICATION CHECKLIST For your application to be complete, you must submit ALL of the following: p Application Form p Two Essays p Criminal and Background Records Check Form p High School Transcripts (include college transcript if applicable) p Pastoral Recommendation p $50 Application Fee (check payable to Lifepoint Church) p One Recent Photo (will not be returned) p Logos Christian College Application (do not send in Logo s payment- tuition covers Logos payments) Once we have received your completed application, a staff member will contact you regarding an interview. COMPLETING THE APPLICATION 1. Please print in ink or type the application form. Be sure to complete each page of the application. 2. Enclose the $50 non-refundable application fee. Your application for admission will not be evaluated until the application fee is received. 3. Request official transcripts from your high school and/or any colleges attended. If you are currently enrolled, please request a final transcript to be mailed upon graduation or completion of coursework. Applicants who have completed fewer than 30 semester hours of college coursework must also submit high school transcripts. SUBMITTING THE APPLICATION The Lifepoint Leadership College is a 9-month program from August to May. We accept and review applications year round, but all applications for enrollment in the upcoming year must be submitted by June 15. Please mail your completed application to the address located at the top right-hand corner. TUITION/TUITION DEPOSIT The cost of tuition is $5,000. This total includes a $200 non-refundable deposit. If you are admitted to the school and plan to enroll, you must submit your tuition deposit by June 15. The balance is due as follows $2,300 on August 1 st $1,250 due December 1 st and the remainder $1,250 due January 15th. Any questions concerning tuition payment should be ed to or call the church office at

2 PERSONAL INFORMATION Full Name Last First Middle Preferred Name Gender Male Female Birthdate: / / Month / Day / Year Mailing Address Number and Street City State/Country Zip Physical Address Number and Street City State/Country Zip Phone ( ) 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 Providing information about race/ethnicity is voluntary. The information is not used in a discriminatory manner. Latino(a) Hispanic Caucasian African American American Indian or Alaskan Native Asian American Pacific Islander Other CHURCH BACKGROUND INFORMATION Name of current Church/Christian Organization Denomination Phone ( ) Mailing Address Number and Street City State/Country 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? If less than one year, what church were you involved in previously?

3 LIFESTYLE INFORMATION Age/year when you accepted Jesus Christ as your personal Lord and Savior Have you been water baptized? Yes No Age/year? Please list any ministry experiences/positions you have held, both inside or outside the church. Are there any past or present issues (spiritual, physical, emotional/mental, social) that would hinder your ability to work appropriately with children or students? Yes No If yes, please explain Have you struggled in the past or are you currently struggling with any addictions (alcohol, drug, pornography, etc.)? Yes No Is there anything from your past that might come up in the future about you that could hurt the ministry of Lifepoint Church? Yes No If yes, please explain Have you ever been accused, charged or convicted of a criminal offense (felony or misdemeanor other than a parking violation? Yes No If yes, please explain

4 FINANCIAL INFORMATION 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. List the current amount of debts, loans, or payments currently owed Will these be paid off by the time you enter the Lifepoint Leadership College Yes No Do you currently own a vehicle? Yes No Do you currently have automobile insurance for your vehicle? Yes No EDUCATIONAL INFORMATION Check all that apply regarding your current educational status: High School (If so, what year) College (If so, what year) Check that which applies regarding your educational background: High School Graduate (GPA) Date of Graduation (mo/yr) / College Graduate (GPA) Date of Graduation (mo/yr) / Some College (If so, what year) ACT Score SAT Score 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) Colleges or universities to which you are currently applying (if applicable)

5 EMPLOYMENT INFORMATION 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 and current employment, include military service and periods of unemployment. Position Start Date End Date

6 FAMILY INFORMATION Father/Guardian s Name Last First Middle Address Number and Street City State/Country Zip Home Phone ( ) Work Phone ( ) Address Mother/Guardian s Name Last First Middle Address Number and Street City State/Country Zip Home Phone ( ) Work Phone ( ) Address I live with (check all that apply) Both Parents Mother Father Stepparent Guardian Other Person to contact in case of an emergency: Name Relationship Phone ( ) Briefly describe your family environment: How does your family feel about you entering the Lifepoint Leadership College?

7 ESSAY QUESTIONS The Lifepoint Leadership College is seeking students who are committed to growing spiritually, are well prepared academically, and want to contribute to their community. We recognize that each applicant is a uniquely gifted child of God. Our essays help the admission staff get to know you. Please respond to both questions as you would to a senior-level English class or college-level composition assignment. Each response should be words. These may be done on a separate document but submitted with the application. 1. Please give your testimony and describe your personal relationship with Jesus Christ. What does it mean to you to be a follower of Christ? 2. What has led you to apply to the Lifepoint Leadership College?

8 REQUEST & AUTHORIZATION FOR CRIMINAL/BACKGROUND RECORDS I hereby authorize Lifepoint Church to conduct a criminal and background records check through the appropriate national, state, and county agencies and for such agencies to release any information which pertains to any record of convictions contained in its files or in any criminal file maintained on me whether state, local, or national. I hereby release said agency from any liability resulting from disclosure of this information. Signature Date Full Name (print) Maiden Name (print) Year Married All Aliases (Last Name Only) Date of Birth Social Security Number Place of Birth Date Moved to North Carolina Current Local Address Street City State Zip ( ) Home Phone Number If you have lived in states other than North Carolina since the age of 18, please fill in the following, beginning with the most recent period of time, and list your address and your last name at that time: From To Address Street City State Zip Your Last Name during this time Submitted By: Lifepoint Church 3534 S. College Road STE A Wilmington, NC 28412

9 I understand that my signature represents my agreement with and support the vision and purpose of the Lifepoint Leadership College. I certify that the information provided in this application is complete and accurate to the best of my knowledge. I understand that failure to provide accurate and complete information will result in denial of admission. Signature Date Printed Name

10 PASTORAL / MINISTRY LEADER RECOMMENDATION Applicant s Name Last First Middle Applicant s Address Street City State/Country Zip Check one: I waive my right to review this completed document. I do not waive my right to review this completed document. Signature Date (Note: The admission process requires your insight regarding this applicant. If the applicant does not waive his or her right to review this document, he or she has permission to read this recommendation.) Thank you in advance for your help. Each applicant must submit a pastor s/ministry leader s recommendation. We are interested in your assessment of this student s spiritual development. Serious consideration will be given to your comments; therefore, we ask you to complete this form carefully. Please comment on the student s level of commitment to spiritual growth, participation in a church or organization and potential to contribute to a Christian community, keeping the following community lifestyle expectations in mind: Members of Lifepoint Leadership College are committed to Christian values and actively participate in the integration of faith and learning. Students commit to specific standards. Students are required to refrain from the possession and use or being under the influence of alcohol, tobacco and non- prescriptive drugs during their time as a student. Students commit to specific standards and are required to refrain from immoral sexual behavior and from the possession and use of obscene or pornographic images or literature and will strive for an attitude of purity. Students will be coached and counseled if they struggle with these matters. These standards are established in order to provide a healthy environment for growth and learning. Name Church Name Phone ( ) Church Phone ( ) Address Church Address Street City State/Country Zip How long have you known the applicant? How well do you know the applicant? Very Well Well Casually Do you feel the applicant possesses the necessary qualities to succeed in the Lifepoint Leadership College? Yes No Do you believe the applicant has a personal relationship with Jesus Christ? Yes No Explain:

11 To your knowledge, is the applicant s present conduct consistent with the lifestyle described above? Yes No What evidence have you observed? Briefly identify the applicant as an active, average or an indifferent participant in the activities of the church. Based on your knowledge of the applicant, would he or she likely profit from the Lifepoint Leadership College experience? From your perspective, please identify several of the applicant s strengths and weaknesses. Based on the applicant s God-given talents and gifts, how do you see him or her specifically contributing to the Lifepoint Leadership College? Rank the applicant in the following areas: Excellent Above Average Average Below Average Emotional Stability Leadership Ability Peer Relationship Spiritual Maturity Social Skills Comments

12 Based on the above information, I support the following recommendation regarding the applicant s admission into the Lifepoint Leadership College Strongly Recommend Recommend Do not Recommend Are you familiar with Lifepoint Church? Yes No Would you like to discuss the applicant with our staff? No Yes, you can reach me at ( ) Signature Date If you wish to make additional comments about the applicant, please contact an admission staff member at or Lifepoint reserves the right to select students on the basis of academic performance and personal qualifications. Lifepoint does not discriminate on the basis of race, gender or national or ethnic origin in its programs and activities. After completing this recommendation, please return to: Lifepoint Leadership College Office of Admission 3534 S. College Rd. Wilmington, NC 28412

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