Christian Leaders Institute

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Personal Information

First Name
 Last
Address
City
 State Zip
Home Phone
 Email
Cell Phone
   
Birth Country
Birth Date Gender   Male Female
   
Marital Status
 Single Married   


Mentor Information
Please provide us with contact information of a mentor who would be willing to encourage and pray for you during your studies
with CLI. Your mentor will be asked to publicly acknowledge you on the completion of each class, by presenting you with your
certificates and / or deploma upon completion of you courses.

First Name
Last
Address
City
 State Zip
Phone
 Email


Church Information
Please provide information about your church

Pastor Contact Phone
Are you ordained? No Yes, by whom


Training
Please provide the term for which you are applying
and the type of training you desire Diploma or Certificate

Term for which you are applying    year    Fall   Winter/Spring   Summer
Your plan to attend Full time   Part time  

Below, select which program you are applying to: Leadership Series or Diploma Program.
Leadership Series Certificate

Leadership Series Certificate for which you are applying:
  Elder Training  (17 or 18 credit hours)
  Biblical Studies (17 credit hours)
  Shepherding (16 or 17 credit hours)
  Theology (18 credit hours)
  Evangelism (15 or 16 credit hours)
 
Or
Diploma Program
Ministry Apprenticeship Program for which you are applying:
  I seek training for employment in a church office such as church planter or pastor
  I seek training as an elder, deacon, or other volunteer leadership role
  I am already trained and ordained as a pastor/minister but want to learn more through CLI
  I seek training to serve as a ministry associate or staff worker with a church or ministry
  I want to take a few classes to enrich my personal faith and witness
Degree desired
  Diploma of Discipleship
  Diploma of Ministry
  Diploma of Divinity
 

Agreement

I recognize the Christian Standpoint of Christian Leaders Institute. I
am a believer and follower of Jesus Christ. Signed with my email
address:
  Date