Application for Admission
Contextualized Leadership Development
Diploma in Theology

Bold fields are required
CLD Center:
Student ID: Please enter the ID you were assigned for your DCM studies.


Name: First: Middle: Last:
Nickname/Preferred Name: E-Mail:
Social Sec. or Tax ID No.: Birthdate: mm/dd/yyyy
Phone: Home: Work: Cell:
Address: Street: City: State:
  Zip: Country:
Ethnic Origin: Sex:
Marital Status: Citizen:
Spouse Name: First: Middle: Last:


Starting Term:


How long have you been a Christian? years Denomination:
Church Name where currently a member:
Pastor's Name: Pastor's E-Mail:
Church Mailing Address: Church Email:
How long a member? years  months (If less than 1 year, please enter previous church below.)
Church name where previously a member:
Previous Pastor's Name: Previous Pastor's E-mail:
Previous Church Address:
Church Participation:


Graduated High School or GED:
Have you graduated with your Diploma in Christian Ministries from Golden Gate Seminary?
When did/will you graduate with your Diploma in Christian Ministries?

Click the button at the right to submit this application. In so doing, you certify that all of the information that you have submitted is accurate and complete.