Apply – DC LeaderShip School

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

Birthdate*

Age*

Gender*

Marital Status*

How long have you been married?*

Have you accepted Christ?*

Yes
No

When did you accept Christ?*

Do you regularly attend church?*

Yes
No

Name of Church*

Senior Pastor Name*

How did you hear about DCLS?*

What is your nationality or country of origin?*

Education

Have you graduated High School?*

Yes
No

Name of High School*

Graduation Date*

Employment

Are you currently employed?*

Yes
No

Employer*

How long have you worked there?*

Health

Your Health Is*

Excellent
Good
Fair
Poor

List any allergies

List any physical limitations

List any medications you are currently using (optional)

Have you ever used illegal drugs?*

Yes
No

Do you currently smoke?*

Yes
No

Do you currently drink alcoholic beverages?*

Yes
No

Have you ever been arrested?*

Yes
No

Please explain your arrest circumstances.*

Commitment

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

Yes
No

Financial

How do you plan on paying for your program fee?*

Will you have the required program fee by start date?*

Yes
No

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

apply now

Join DCLS

APPLICATION

Personal Information

Education

Employment

Health

Commitment

Financial

References

Reference 1

Reference 2

Reference 3