Christian Leadership Program Application


To be admitted as a student in the Education of the Laity program, you will need to:

  1. Complete this application form in its entirety.
  2. Complete the personal essay or statement.
  3. Provide a Reference from a Pastor or a church governing body (Judicatory) official.

Applications are not complete until all required fields on this application are filled out and submitted. If you have any questions or concerns, please contact Carla Gibbons in the Distance Education office at 563.589.3630 or 1.888.207.8218, Monday through Friday from 8:00 a.m. to 5:00 p.m., Central Standard Time.


Personal Information


   

   

   

   


   


   


   


   


   


   

   

   


   


   


   


   

   


   

   


Mailing and Current Address Information

Please provide at least one address. If you have an alternate address, then please complete the second address section as well.


   

   

   

   

   

   


Current Address, if different from above



   

   

   

   


Admissions Questions

The answers to these questions help us better serve our students.


   


   


   


   


   


   


   


   


Education History - Undergraduate

Please list all colleges you have attended, dates of attendance, and degrees you have received.

Name of School Location (City, State) Dates Attended Major (s)
        
  
        
  
        
  


Education History - Graduate School

Please complete this section ONLY if you have earned a postgraduate degree.

Name of School Location (City, State) Dates Attended Major (s)
        
  
        
  


Ecclesial


   

   


   

   

   

   

   

   


Pastor Information


   

   

   

   


Reasons for Applying Essay

Please explain in 250 words or less, your reasons for applying to UDTS to take Lay Education courses. If you plan to use these courses to become a Lay pastor, please provide the contact name and e-mail for someone responsible for your program.

You may also send your essay directly to Carla Gibbons by e-mail at CGibbons@dbq.edu


Recommendation - General

Who will provide you a Letter of Reference?
  


   


If you have any questions or concerns regarding the application, please call 888.207.8218 or e-mail DERegistration@dbq.edu