Application

Personal Information

First Name *
Last Name *
Present Street Address *
City *
State *
Zip Code *
Telephone *
Cell Phone
Social Security No. *
Email *
Birthdate *
Age
Marital Status *
Single Married

Mother's Information

Mother/Guardian Name *
Street Address *
City
State
Zip Code
Occupation
Accepted Christ? *
Yes No

Father's Information

Father/Guardian Name *
Street Address *
City
State
Zip Code
Occupation
Accepted Christ? *
Yes No

Home Church Information

Name of Home Church
City
State
Zip Code
Telephone
Name of Senior Pastor
Name of Youth Pastor
How long have you attended this church?
How many times a week do you attend?
List the different ministries you have been, or are currently involved in:
Are you an official member of the church?
Yes No
When did you accept Christ?
Have you ever been baptized in water?
Yes No
Have you ever had an Acts 2:4 experience? (Not required for admission)
Yes No
How do your parents feel about you coming to LSSC?

References

Reference One *List name, relation and telephone number
Reference Two *List name, relation and telephone number
Reference Three *List name, relation and telephone number

Please answer the following to the best of your ability:

What is your definition of a servant? *
What do you plan to do after LSSC? *
Define your idea of ministry. *
What are some of the necessary qualities you feel you must have to be a spiritual leader? *
How did you hear about LSSC? *
If accepted into LSSC, are you willing to make a nine-month commitment? *
Yes No

Verification

Please enter any two digits with no spaces (Example: 12)*

© Copyright 2011 - Leadership School of Southern California // South Hills Church // 2585 S. Main Street Corona, CA 92882 // 951.734.4141