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Christian Leadership Program Application
Christian Leadership Program Application
Personal Information
First Name
Middle Name
Last Name
Maiden Name
Email
Gender
--- Select ---
Male
Female
Marital Status
--- Select ---
Single
Married
Divorced
Separated
Widowed
Date of Birth (mm/dd/yyyy)
Primary Phone
Cell Phone
Other Phone
Place of Birth (include city, state, country)
Of what country are you a citizen?
If not a citizen of the U.S., are you a Resident Alien of this country (i.e. do you have a "green card")?
n/a
Yes
No
Is English your first language?
Yes
No
If no, please submit your TOEFL/IELTS score
OPTIONAL: Select one of the following racial categories to describe yourself:
n/a or Choose Not to Answer
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Pacific Islander
Hispanic/Latino
White
Multi-Ethnic
OPTIONAL: Do you consider yourself Hispanic/Latino?
n/a or Choose Not to Answer
Yes
No
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.
Mailing Address Line 1
Mailing Address Line 2
City
State
Zip Code
Country
Current Address, if different from above
Current Street Address
City
State
Zip Code
Admissions Questions
The answers to these questions help us better serve our students.
Preferred Method of Contact
--- Select ---
Phone
Email
Mail
What is your highest level of education?
--- Select ---
High School
Some College
Associate's Degree
Bachelor's Degree
Graduate Degree
Why are you pursuing Lay Education?
--- Select ---
Personal Interest
Lay Pastor Training
Other
Have you participated in other Lay Education programs?
--- Select ---
Yes
No
Would you be interested in Spanish language Lay courses?
--- Select ---
Yes
No
Would you pay to earn college credit for Lay Education courses?
--- Select ---
Yes
No
Are you interested in master's level theology courses?
--- Select ---
Yes
No
Please Provide the Names of Alumni/ae or Students of UDTS Who Influenced Your Decision to Apply Here.
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
With what denomination are you presently affiliated?
--- Select ---
AME
Baptist
CRC
Catholic
CoG in Christ
Disciples
EFREE
ELCA
EPC
Episcopal
Free Methodist
MCC
NACCC
Nondenom
Other
PCA
PCUSA
RCA
RPC
So Baptist
UCC
UMC
Unitarian Univ
Unknown
What is the name of your Presbytery, Conference or Church Judicatory?
Name of Home Church
Street Address
City
State
Zip Code
Country
Pastor Information
Pastor's First Name
Pastor's Last Name
Pastor's Phone Number
Pastor's Email
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 email for someone responsible for your program.
You may also send your essay directly by email at
DERegistration@dbq.edu
Recommendation - General
Who will provide you a Letter of Reference?
Name:
Email Address:
How did you hear about UDTS?
--- Select ---
Internet
Teacher or Professor
Pastor
Seminary Student
Alumni
Advertisement
Church Official
Admission Staff
Recruitment Event
Pop Up
Military
If you have any questions or concerns regarding the application, please call 888.207.8218 or email
DERegistration@dbq.edu
Submit Your Application
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