Please attach a recent
photograph here for
identification purposes
Application for Admission to School of Ministry - Fall 2009
The decision to apply for Joshua Springs Calvary Chapel School of
Ministry should not be taken lightly. The application process is fairly
long and involved. Please pray before and during the process. It
requires extensive thought and personal reflection and should be
approached as the first assignment in the program. Your effort and
attention in the application process will tell the pastors and teachers
of the program a great deal about your commitment and ability to
complete the program, so consider carefully your attention to these
questions.
If any concerns or questions arise as to the nature of the school,
scheduling, etc., please feel free to e-mail us at
steve@joshuasprings.org. You will also want to read the SOM Catalog,
which will be available at our website, before and after services at
JSCC, or in the church office.
Steps for Application Process: (necessary for admission to SOM)
A complete application
Signed Liability & Consent Form
Two Personal References (one from church leadership, other than SOM leadership)
$25 non-refundable application fee
Mail to JSCC – application deadline is September 1, 2009
Biographical Information
Name: ______________________________________________________________________________________
Last
First
MI
SSN:
________-______-__________
Date of Birth: ________/________/________ Age: ____________
Gender: p Male p Female
Mailing Address: _____________________________________________________________________________
City: __________________________________________ State: ___________ Zip: _______________________
Residence Address (if different from above):
_____________________________________________________________________________________________
City: __________________________________________ State: ___________ Zip: _______________________
Phone: (______) __________________ E-Mail: ____________________________________________________
Occupation or Trade: ________________________________________________________________________
Employer: ___________________________________________________________________________________
If accepted for admission to Joshua Springs Calvary Chapel’s
School of Ministry, you will be expected to enroll as a full-time
student for the entire 9-month duration. You cannot attend part time.
Do you foresee a problem with this? ___ Yes ____ No
Marital Status: p Single p Married
If married, have you discussed the rigors of the program and the
9-month commitment with your spouse? Is your spouse in full agreement
with your decision to pursue this rigorous program of study? ____ Yes ____ No
Medical Information
(If you need to write more than space allows, please include a separate sheet of paper, clearly marked.)
1. Are you in good health? ____ Yes ____ No
2. Do you have any physical disabilities?
____ Yes____No If yes, please explain.
3. List any major illnesses you have had and the year(s) in which you experienced them.
4. Do you have any communicable diseases?___ Yes ___ No If yes, please explain.
5. Are you presently on medication or under a physician's care for a specific condition?
___ Yes ____ No If yes, please explain.
6. Do you have any allergies? ___ Yes ___ No
If yes, please explain.
7. Have you ever been, or are you presently under psychiatric or
psychological care, counseling, or psychotherapy? ____ Yes ____ No
If yes, please explain.
8. Have you ever been hospitalized or admitted to a treatment facility for any reason? ____ Yes____ No
If yes, when and where? Explain.
Education
Please list all schools attended from high school to present:
Name of School Dates of Attendance
Degree/Diploma Major/Minor
GPA
Spiritual Profile
Please answer the following questions on a separate sheet of paper (typed, no more than two pages in length):
Please describe in detail your testimony of when and how you became a Christian.
Please describe your current relationship with the Lord in terms of your devotional and prayer life.
How long have you been a part of Joshua Springs Calvary Chapel (if a
different church, insert church name)? How often do you go to church?
What ministries are you currently involved in?
Why do you want to attend the School of Ministry?
What are your future plans and heart's desires in ministry?
Doctrinal Beliefs
On a separate sheet of paper, please type out a one-paragraph (per item) statement of your beliefs according to the following:
The Bible
God
Jesus Christ
Holy Spirit
Sin
Salvation
God's sovereignty and man's free will in regard to salvation
Baptism with the Holy Spirit
The Rapture of the Church
Eternal SecurityRelease of Liability
I do hereby release Joshua Springs Calvary Chapel, its employees, and
agents from any liability whatsoever arising out of any injury, damage,
or loss which may be sustained by said person during the course of
involvements with the School of Ministry.
Applicant’s Name: __________________________________________________________________________
Applicant’s Signature: ________________________________________________ Date: _________________
Consent for Treatment
In case of emergency, I hereby agree to the performance of such
treatment, including anesthesia and surgery, as the attending doctor or
physician may deem necessary.
Applicant’s Name: __________________________________________________________________________
Applicant’s Signature: ________________________________________________ Date: _________________
For emergency purposes, please give us the name, address, and phone
number of your nearest living relative or other emergency contact:
Name: __________________________________________________ Relationship: _______________________
Address: ____________________________________________________________________________________
City: __________________________________________ State: ____________ Zip: _______________________
Home Phone: (_____________) ________________________________________________________________
Church Leadership Recommendation Form
To be completed by someone in ministry to whom you are accountable and who is well acquainted with you.
Applicant’s Name: __________________________________________________________________________
In seeking admission to the Joshua Springs Calvary Chapel School of
Ministry, the above applicant has been asked to have this form
completed by a leader in ministry. We as a school are endeavoring to
admit those students who would successfully complete the program. If
you feel this form is not adequate for the depth of your remarks,
please feel free to provide your response in any form you choose.
CONFIDENTIALITY – Federal Law gives students the option of waving
their right to see specific letters of recommendation. If the applicant
has not signed the waiver at the bottom of this form, it will be
assumed you are submitting information with the full knowledge that it
may be seen by the applicant if he or she is accepted and enrolls in
the School of Ministry.
Please describe the type of relationship you have with the applicant and how long you have known him or her.
Please evaluate the applicant in the following areas by checking the appropriate response:
Christian faith and commitment
Excellent
Very Good
Average
Poor
Not Observed
Academic competence
Excellent
Very Good
Average
Poor
Not Observed
Ability to communicate
Excellent
Very Good
Average
Poor
Not Observed
Personal maturity
Excellent Very
Good
Average
Poor
Not Observed
Spiritual maturity
Excellent
Very Good
Average
Poor
Not Observed
Ability to work with others
Excellent
Very Good
Average
Poor
Not Observed
Potential for leadership
Excellent
Very Good
Average
Poor
Not Observed
Initiative and perseverance
Excellent
Very Good
Average
Poor
Not Observed
Interpersonal relationships
Excellent Very
Good
Average
Poor
Not Observed
How would you summarize this person’s strengths?
How would you summarize this person’s weaknesses?
Would you be comfortable with this person as a leader in your church?
Yes No Unsure (please comment)
I ___ highly recommend, ___ recommend, ____recommend with reservations, ___ do
not recommend this person to the Joshua Springs Calvary Chapel School
of Ministry.
Your Name: ________________________________________________ Church: ________________________
Phone: (___________) ____________________________________________ Date: ______________________
Please mail to: JSCC School of Ministry, 57373 Joshua Lane, Yucca Valley, CA 92284, (760) 365-0769
Applicant: The Family Education and Privacy Act of 1974 provides
applicants the right of access to information provided by their
references after the applicants have been accepted by and enrolled at
the Joshua Springs CC School of Ministry. This law also allows
applicants the privilege to waive this right of access, an action that
may protect the integrity of recommendations and references. No school,
however, can require an applicant to sign such a waiver, nor can it
discriminate in any way against an applicant who does not waive his or
her access. Applicant, please check one:
____ I waive my right to review this form ______ I do not waive the right to review this form
Signature:
_______________________________________________________________________
Date: ____________________________
Personal Reference Form
Applicant’s Name: __________________________________________________________________________
In seeking admission to the Joshua Springs Calvary Chapel School of
Ministry, the above applicant has been asked to have this form
completed by a close acquaintance. We as a school are endeavoring to
admit those students who would successfully complete the program. If
you feel this form is not adequate for the depth of your remarks,
please feel free to provide your response in any form you choose.
CONFIDENTIALITY –Federal Law gives students the option of waving
their right to see specific letters of recommendation. If the applicant
has not signed the waiver at the bottom of this form, it will be
assumed you are submitting information with the full knowledge that it
may be seen by the applicant if he or she is accepted and enrolls in
the School of Ministry.
Please describe the type of relationship you have with the applicant and how long you have known him or her.
Please evaluate the applicant in the following areas by checking the appropriate response:
Christian faith and commitment Excellent Very Good
Average Poor Not Observed
Academic competence
Excellent Very Good
Average Poor Not Observed
Ability to communicate
Excellent Very Good
Average Poor Not Observed
Personal maturity
Excellent Very
Good
Average Poor Not Observed
Spiritual maturity
Excellent
Very Good
Average Poor Not Observed
Ability to work with others
Excellent Very
Good
Average Poor Not Observed
Potential for leadership
Excellent Very Good
Average Poor Not Observed
Initiative and perseverance
Excellent Very
Good
Average Poor Not Observed
Interpersonal relationships
Excellent Very
Good
Average Poor Not Observed
How would you summarize this person’s strengths?
How would you summarize this person’s weaknesses?
I p highly recommend, p recommend, p recommend with reservations, p do
not recommend this person to the Joshua Springs Calvary Chapel School
of Ministry.
Your Name: ________________________________________________ Church: ________________________
Phone: (___________) ____________________________________________ Date: ______________________
Please mail to: JSCC School of Ministry, 57373 Joshua Lane, Yucca Valley, CA 92284, (760) 365-0769
Applicant: The Family Education and Privacy Act of 1974 provides
applicants the right of access to information provided by their
references after the applicants have been accepted by and enrolled at
the Joshua Springs CC School of Ministry. This law also allows
applicants the privilege to waive this right of access, an action that
may protect the integrity of recommendations and references. No school,
however, can require an applicant to sign such a waiver, nor can it
discriminate in any way against an applicant who does not waive his or
her access. Applicant, please check one:
p I waive my right to review this form p I do not waive the right to review this form
Signature: _______________________________________________________________________ Date: ____________________________