Your name: ________________________________________________________

Address: __________________________________________________________

City: __________________________ State: _____ ZIP :__________________

Telephone: (____)__________________ Email: __________________________

Age: ____ Gender: ______

Education and highest degree completed: ___________________________________________

Marital status: ( ) Married ( ) Divorced ( ) Single

Are you ordained? ( ) Yes ( ) No With whom? _________________________________

Religious affiliation and/or denomination: _______________________________________

______________________________________________________________________

What is your present ministry: ________________________________________________

Do you attend a church? ( ) Yes ( ) No Name of church and addresse: _______________

_______________________________________________________________________

If you are in leadership in your present church, which position do you hold: ___________________
Print this page, complete form and mail to CLF, PO Box 70, Cobbtown, GA 30420
School of Ministry Enrollment Form