Application for Admission
Contextualized Leadership Development
Christian Ministries (DCM)



Bold fields are required
CLD Center:

PERSONAL INFORMATION

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:

STUDY PLAN

Starting Term:
What is your purpose in seeking a theological education? (Enter between 20 and 1000 characters.)

PREVIOUS EDUCATION

Graduated High School: College:
Schools attended: (Name, city, state, country)
Have you been a student at Golden Gate Seminary? If so, When?

FAITH

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:
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:

REFERENCES

List two individuals (with complete mailing addresses) whom you have known well for more than one year. You may not list family members.
Person 1 Name: Address:
Person 2 Name: Address:

PERSONAL TESTIMONY

(1) Tell us about your life before Christ (Enter between 30 and 1000 characters.)
(2) Tell us when you made a personal decision to be a follower of Christ (Enter between 30 and 1000 characters.)
(3) How has your life changed by being a follower of Christ and what He is leading you to do now? (Enter between 30 and 1000 characters.)

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.