APPLY TODAY

ELIGIBILITY

If you do not meet any or all of the next 4 requirements, please complete them or contact us with any questions.

I agree I am 17 years of age or older, and have completed High School or received GED. *

Yes, I meet the above requirements.
No

If no, please explain.

I have health insurance or the ability to cover my own medical needs. *

Yes, I meet the above requirements.
No

If no, please explain.

I have a valid drivers license. *

Yes, I meet the above requirements.
No

If no, please explain.

I have a valid Passport or will obtain one at least one month prior to any international missions trip. *

Yes, I meet the above requirements.
No

If no, please explain.

APPLICANT INFORMATION

First Name *

Last Name *

Birthdate *

Current Age *

Gender

Male
Female

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Email *

Are you a citizen of the United States *

Yes
No

If no, please elaborate.

ACADEMIC OVERVIEW

What is your highest form of education currently? *

Where did you graduate High School or receive your GED? *

Graduation or GED Completion Year *

Which Academic Track are you most interested in pursuing? Southwestern Assemblies of God (SAGU) / West Coast Bible College & Seminary (WCBSCS) / Berean School of The Bible (Berean) *

If Other, please elaborate.

What do you think are your academic strengths & weaknesses? *

Will you have a personal laptop to use while at CLC? (Personal laptops are not required but highly encouraged. Not having one will in no way affect your eligibility.)

Yes
No

FINANCIAL OVERVIEW

Are You Currently Employed? *

Yes
No

If Yes, where?

Do you have any current debts? *

Yes
No

Will the debts be paid off by the start of the school year? *

Yes
No

If No, how do you plan to make payments?

How do you plan to pay for tuition? *

Do you have your own vehicle?

Yes
No

CHURCH HISTORY

What Church are you currently involved with? *

How long have you attended church regularly? *

List the different ministries you were involved with. *

What is your idea of ministry? *

Please share your salvation experience. *

QUESTIONNAIRE

Why do you want to attend Crossroads Leadership College? *

If accepted, what are you expecting God to do in your life? *

How do your parents or guardians feel about you attending Crossroads Leadership College? *

How would you rate your mental health (1 being worst & 10 being best)? *

What are your interests or hobbies? *

What is a challenge you have faced and how did you overcome it (or are working towards overcoming)? *

Define your idea of ministry. *

Upon enrollment we run a standard background check on each student. We have the responsibility to ensure that CLC is a safe environment for everyone and would prefer to hear directly from you, the applicant. An arrest or conviction will not necessarily disqualify an applicant for enrollment. Have you ever been arrested or convicted?

Yes
No
I have questions

If Yes, why?

We require all students to be tobacco and alcohol free during the school year. Do you understand and agree to abide by this standard? *

Yes
No
I have questions

Is there anything else you wish to share? *

By submitting this form you confirm that all information provided is correct and true to the best of your knowledge. *

I Confirm

Personal Photo *

Click or drag a file to this area to upload.

Please attach a photo of yourself for our records.