Apply for your 1st year by filling out the form below Name * As it appears on your birth certificate / passport First Name Last Name Preferred Name * First Name Last Name Ethnicity * Email * Have you previously applied for LIFE Leadership College? * Yes No Date of Birth * MM DD YYYY Gender * Male Female Marital Status * Single Married Phone * (###) ### #### What church campus are you a part of? * Central South North West Tauranga Other What was your main activity or occupation prior to study? * How do you intend on paying your course fees? Where do you plan on living during your time in college? How will you cover these costs? * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Do you live with the effects if significant injury, long-term illness, or disability? The information you supply is confidential. * Yes No If yes, please explain and specify if you would require assistance. Current Church Involvement * (Leadership or serving role) within the church, and length of service. Have you ever been water baptised? * Yes No Please give a brief description of your general background. * Where you grew up, family/siblings What is your current work situation? * Employed Full Time Employed Part Time Freelance / Contracting Unemployed Give a summary of Christian life (including salvation) * Share your strengths and weaknesses in an academic environment * Do you have any challenges around learning, relating to others and/or completing physical tasks? * Consent for disclosure of disability / illness * Yes No Are there any significant life events that have shaped who you are to this point? If yes, please explain. * Have you ever suffered from or been involved with: * depression/anxiety self-harm anger management drug use/addiction criminal activity dangerous/harmful relationships other mental health concerns If you selected any of the options above, please provide a brief explanation below: Please describe how you maintain your christian life? * What has inspired you to apply for LIFE Leadership College? * What practical training stream are you interested in? * Community Impact Pastoral Leadership Creative Leadership Next of Kin * First Name Last Name Thank you!
