Application

What session are you applying for?*

Personal Information

Name*

First Last

Phone Number*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Social Media Handles

Birthdate*

Age*

Gender*

Marital Status*

Are you a citizen of the US?

Yes
No

Have you accepted Christ?*

Yes
No

Do you regularly attend church?*

Yes
No

How long have you attended your church?

Name of your Senior Pastor

How did you hear about DCLS?*

What is your country of origin?*

Please list any languages you speak other than English and whether fluent/conversational

Education

Select one, with Highest Degree of Education Completed

Name of College

Degree

Years Attended

Employment

Are you currently employed?*

Yes
No

Present Employer

Dates employed

List of duties performed

Health

Physical Health

Excellent
Good
Fair
Poor

List any allergies

List any physical limitations

Mental Health

Excellent
Good
Fair
Poor

Please explain why you selected poor

Mental Health Diagnoses or Struggles

List any medications you are currently using (optional)

Have you ever used illegal drugs?*

Yes
No

Please explain*

Do you currently smoke?*

This includes vaping, any form of nicotine and use of Marijuana

Yes
No

Please explain*

Do you currently drink alcoholic beverages?*

Yes
No

Have you ever been arrested?*

Yes
No

Please explain*

Commitment

If you are accepted to Dream Center Leadership School, are you willing to make a 9-month commitment?*

Yes
No

Do you understand that being a part of DCLS will require you to live at a high Biblical standard?*

Yes
No

List some qualities you think are necessary to be a leader*

Please write a brief personal testimony. 200 words minimum*

References

Reference 1

Name*

First Last

Relation*

Phone Number*

Email

Reference 2

Name*

First Last

Relation*

Phone Number*

Email

Reference 3

Name

First Last

Phone Number

Relation

Email

DCLS application

Personal Information

Education

Employment

Health

Mental Health Diagnoses or Struggles

Commitment

References

Reference 1

Reference 2

Reference 3

Sign up for emails