Application for admission
Application is for:
2006/07 2007/08 2008/09
Applicants full name:
First name: Middle name: Last name:
Preferred name:
Current Mailing Address
Address1 Address2 City State Alabama (US) Alaska (US) Arizona (US) Arkansas (US) California (US) Colorado (US) Connecticut (US) Delaware (US) Florida (US) Georgia (US) Hawaii (US) Idaho (US) Illinois (US) Indiana (US) Iowa (US) Kansas (US) Kentucky (US) Louisiana (US) Maine (US) Maryland (US) Massachusetts (US) Michigan (US) Minnesota (US) Mississippi (US) Missouri (US) Montana (US) Nebraska (US) Nevada (US) New Hampshire (US) New Jersey (US) New Mexico (US) New York (US) North Carolina (US) North Dakota (US) Ohio (US) Oklahoma (US) Oregon (US) Pennsylvania (US) Rhode Island (US) South Carolina (US) South Dakota (US) Tennessee (US) Texas (US) Utah (US) Vermont (US) Virginia (US) Washington (US) Washington DC (US) West Virginia (US) Wisconsin (US) Wyoming (US) Zip
Phone number
Phone number Cell phone number
Email Address
Date of birth (mm/dd/yy)
Ethnicity
Asian African-American Native American Hisanic Caucasian Other
Citizen of what country?
Church affiliation
Marital status
Single Married Divorced
Do you have children?
Yes No
Occupation
How did you hear about Downline Institute?
Church Leadership Former Student Other
Please list and describe leadership positions you’ve held in your church or community.
Position
Description
Please check the 5 terms below that you believe best describe you.
Detailed Dependable Honest Energizing Motivated Moral Patient Persuasive
Respected Passionate Team-player Trusted Wise Humble Leader Integrity
Briefly describe your salvation experience. (Share your testimony)
Have you had any Christian leadership roles or opportunities to use your gifts to serve the Body of Christ? Explain.
Why do you desire to become a student in “The DownLine Institute”?
Please enter the email addresses for a pastor reference and a character reference:
Pastor reference's email address :
Character reference's email address :
All of the information that I have given is true and correct to the best of my knowledge. I realize that as a student in the DownLine Institute, I will be reflecting the character of Jesus Christ, the body of believers, and DownLine Ministries in my conduct. Therefore, while involved in this program, I will endeavor to conduct my life in accordance with the teaching of Scripture and refrain from activities it expressly forbids including fornication, homosexuality, adultery, theft and dishonesty.
Applicant’s Signature: Date: