Application: Christian Leadership Center

General Information

Please submit the following application to the Christian Leadership Center. To complete your application you will need to provide the following, and can upload them in this form:

1. a picture of yourself

2. a letter of recommendation from a church leader who knows you well (pastor, youth director, etc.)

3. a 500 word "spiritual autobiography" describing your spiritual journey

I am applying for the academic year....

ex: 2022-2023

Contact Information - First Name

Contact Information - Middle Initial

Contact Information - Last Name

Contact Information - Email Address

Contact Information - Phone Number

Contact Information - Address

Contact Information - City

Contact Information - State

Contact Information - Zip Code

Picture of Yourself Upload:

Date of Birth:

Sex:

Marital Status:

T-Shirt Size:

Parent/Guardian Contact Information: - First Name

Parent/Guardian Contact Information: - Middle Initial

Parent/Guardian Contact Information: - Last Name

Parent/Guardian Contact Information: - Email Address

Parent/Guardian Contact Information: - Phone Number

Parent/Guardian Contact Information: - Address

Parent/Guardian Contact Information: - City

Parent/Guardian Contact Information: - State

Parent/Guardian Contact Information: - Zip Code