Personal Information
Name (Last, First, Middle) Preferred Name
Social Security # or Tax ID Address
APPLICATION FOR ADMISSIONADVANCE MINISTRY PREPARATION
Please fill out ALL information in ENGLISH, neatly, in ink.
Prefix: _______ Mr. ________ Mrs. ______ Ms. _____ Miss ____ Rev. ____ Pastor
Birth Date
State ZIP Code
ADVANCE Center (Code and Name): __________________________________________
City
Daytime Phone
Country of Citizenship
Gender: Male
Spouse’s Name (Last, First, Middle) Ethnic Origin (for statistical purposes only):
E-mail Address
Marital Status: Married Single
__ African American __ Hispanic __ Caucasian__ Asian or Pacific Islander __ Other (Please Specify)
Study Plan
Semester/Term you plan to begin
Certificate (12 hours)
Diploma (24 hours)
Leadership Diploma (48 hours)
Female
__ Native American
__ Fall
__ January
__ Spring __ Summer Year: ___________
Evening Phone
(If not USA, please send a copy of your visa / green-card, if possible)
__ Christian Ministry
__ Transformational Teaching
__ Pastoral Ministries
__ Church Planting
__ Peer Counseling
__ On Mission
__ Church Education
__ Chaplaincy
__ Discipleship
__ Children’s Ministry
__ Music Ministry
__ Women’s Ministry
__ Preaching
__ Christian Leadership
__ Introduction to Christian Studies
__ Intermediate Christian Studies
__ Mission Studies (IMB Spouse Requirement)
__ Christian Ministry Leadership __ Transform. Teach. Leadership __ Pastoral Ministries Leadership __ Church Planting Leadership __ Peer Counseling Leadership __ On Mission Leadership
Other CLD Certificate or Diploma (write in):
Education
!1 of 2
__ Christian Ministry Diploma
__ Transformational Teaching Diploma
__ Pastoral Ministries
__ Church Planting Diploma
__ Peer Counseling
__ On Mission Diploma
__ Church Education Diploma
__ Chaplaincy Diploma
__ Discipleship Diploma
__ Children’s Ministry Diploma
__ Music Ministry Diploma
__ Women’s Ministry Diploma
__ Preaching Diploma
__ Introduction to Christian Leadership Diploma __ Christian Studies
__ Church Education Leadership __ Chaplaincy Leadership
__ Discipleship Leadership
__ Children’s Min. Leadership
__ Music Ministry Leadership
__ Women’s Ministry Leadership __ Preaching Leadership
High School Graduate?* __ Yes __ No College Graduate? __ Yes __ No
Have you made previous application to GS?
Faith
Do you want to transfer credit from another school into
Person 1 Address Person 2 Address
Signature Date
Please return this original form to your local center.
FORM I (Updated 8/17)
this program? __ Yes __ No
__ Yes
__ No (if yes, attach transcript) If yes, when?
Have you been a follower of Christ for more than one year? Denomination: __ SBC __ Other Baptist __ Non-Denominational
Current Church Membership
Church Mailing Address
How long have you been a member of your current church?
References
List two individuals (with addresses) whom you have known well for more than one year. You may not list family members.
__ Yes
Pastor’s Name
__ No
__ Other (please specify)
