Phone number *
Phone type Mobile Home Work Other
Gender *
Select… Male Female
Marital status *
Select… Single Married Widowed
Please select which program you applying for: *
What degree are you interested in pursuing through NLC? *
Select… Certificate of Ministry Leadership (18 months) Associate of Arts (2yr) Associate of Ministry Leadership (2yr) BA Business Management (4yr) BA Communications (4yr) BA Humanitarian Leadership (4yr) BA Interdisciplinary Studies (4yr) BA Ministry Leadership (4yr) BA Organizational Leadership (4yr) BA Organizational Management (4yr) BA Psychology Master of Clinical Mental Health Counseling (1-3yr) Master of Arts in Bible and Theology (1-3yr) Master in Ministry (1-3yr) Master of Business Administration (1-3yr) Master in Teaching (1-3yr) Master of Science in Nursing (1-3yr)
Are you interested in Student Housing? *
Select… Yes No
Name of High School, City, State *
Have you attended a Running Start program (or equivalent)? *
Have you attended any College/University? *
Have you said Yes to Jesus? *
Do you have AG Ministry Credentials? *
Share your story *
Where have you seen Jesus in your life?
Parent/Guardian Name (if under 21)
How would you describe your relationship with your family? *
How would you describe your health? *
Select… Great Good Ok Poor
Please describe any chronic illnesses you have.
Is there anything you feel would be important for NLC to know about your health? *
What is your ministry/volunteer experience? (i.e. worship, kids, youth, creative, production, leadership, administration) *
What is your community volunteer experience? (i.e. reading in schools, summer camps, food bank) *
Personal Discipline *
Select… Great Good Ok Poor
Making New Friends *
Select… Great Good Ok Poor
Leadership Ability *
Select… Great Good Ok Poor
Response To Correction *
Select… Great Good Ok Poor
Meeting Deadlines *
Select… Great Good Ok Poor
Arriving On Time *
Select… Great Good Ok Poor
Consistency/Faithfulness *
Select… Great Good Ok Poor
Submission To Authority *
Select… Great Good Ok Poor
Positive Speech *
Select… Great Good Ok Poor
Completing Homework *
Select… Great Good Ok Poor
Spiritual Maturity *
Select… Great Good Ok Poor I'm not spiritual
Self Confidence *
Select… Great Good Ok Poor
Humility *
Select… Great Good Ok Poor
Financial Discipline *
Select… Great Good Ok Poor
Have you ever been involved with: *
Drugs, Tobacco, Alcohol abuse, Marijuana
Have you ever struggled with: *
Severe depression, debilitating anxiety, Bipolar disorder, an eating disorder, or other mental health diagnosis
Have you ever been involved in any activity that would prohibit you from working with kids? *
Have you ever been involved in a secret group or society that was inconsistent with biblical standards? *
Have you ever tried to harm yourself or take your own life? *
Have you ever been charged with or convicted of a crime? *
Please explain any affirmed above. *
Is there anything else you would like us to know that we haven't asked yet? *
Pastoral Reference (name, phone number and email) *
Employer or School Reference (name, phone number and email) *
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