Enrollment

Enroll in LTC

Please note: If you are a member of a church, you MUST have your pastor send an email to registrar@ltcedu.org authorizing your enrollment before your application can be processed. We encourage pastors to sit in on our classes any time they wish, or to contact us by email with any questions.

Leadership Training Center Enrollment Application

First name:
Last name:
Email address:
Street address:
Address 2:
City:
State:
ZIP:
Phone:
Cell:
Date of birth:
Gender:	Male Female
Campus you will attend:	Independence, MOParker, AZPineville, LASan Antonio, TXOther CampusStudy from Home
Program of study:	Biblical StudiesMinistry (Male ministerial students only)
Anticipated start date:
Highest level of education completed:	ElementaryMiddle SchoolHigh SchoolSome CollegeBachelor's DegreeMaster's DegreeDoctorateOther
Explanation, if Other:
Repented?	Yes No
Baptized in the name of Jesus Christ?	Yes No
Date baptized:
Recieved Holy Ghost?	Yes No
Date received:
Minister or ministerial candidate?	Yes No
Have you ever held license before?	Yes No
If yes, with whom?
Are you currently licensed?	Yes No
If yes, with whom?
Level of licensing:
If discontinued, why?
Explain why you wish to study:
Who is your pastor?
What is his email, if available?
Signature of applicant:
Date:
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