Mandate Application

Mandate Application

Mandate Admissions Office | Phone: 909.206.2196 | Email: info@mandate.global
This application process has three components:

1. Submit the online application, completing all sections, uploads, and the supplemental material requested. All information will be kept in strict confidence. It will not be given or sold to anyone, for any purpose beyond evaluation for entrance into the program.

2. Send personal and pastoral references to your chosen, applicable people; ensure they print, and then scan and email the completed forms back to info@mandate.global, or mail it to the below address.
- Pastoral: completed by two pastors who are unrelated to the applicant and have known the applicant for at least one year.
- Personal: completed by someone who is unrelated to the applicant and has known the applicant for at least two years.
3. We will contact you to arrange a personal, phone or zoom interview.
Notice of Confidential Information

All information you provide within this application will be kept confidential. Your information will never be shared, sold, or provided to anyone, and will be used solely for assisting our leadership team in determing if Mandate is the right fit for you.

Why Mandate?

Please answer these questions to the best of your ability. These answers will help us determine if Mandate is a right fit for you.
How did you hear about Mandate?*

FriendPastor or ministry leaderFacebookInstagramYoutubeOther
Why do you want to participate in Mandate? (1 to 3 pages)*

Personal Information

All personal information will be kept confidential.
Full Name*

First NameLast Name
Birth Date*

MonthDayYear
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
In addition to English, what other languages do you speak?
Do you plan on bringing a vehicle to Mandate?

YesNoMaybeOther
Please write your personal story. It needs to be one page or more, double spaced.

Include the following:
1. A summary of your personal journey with Jesus.
2. Any past or present life-controlling issues, whether mental, emotional, legal, or relational.
3. Your goals for the future, including your life vision and ministry plans.
4. Expectations for your experience at Mandate and a summary of what you hope to become.
Personal Story (1-3 pages)*
Personal Story: Video of no more than 3 minutes stating why you think that God has chosen you for this program.

Cancelof

Travel Documents and Immunizations

Current travel documents are necessary for the international church panting portion of Mandate.
Passport Status*

Yes, I have a passportNo, but I have applied for a passport or am renewing my passportNo, I don't have a passport, but can apply for oneNo, I cannot apply for one based on conditionsOther
Passport Number
Passport Country of Issue
Passport Expiration Date

MonthDayYear
Date
Upload Photo of Passport identity page

Cancelof
Date of Yellow Fever Immunization*

MonthDayYear
Date
Upload Photo of Yellow Fever Immunization page

Cancelof
Date of *First* Measles/Rubella (MMR or MR) immunization

MonthDayYear
Date
Date of *Second* Measles/Rubella (MMR or MR) immunization

MonthDayYear
Date
Date of Tetanus/Diphtheria immunization

MonthDayYear
Date
Date of Meningitis immunization

MonthDayYear
Date
Date of Varicella (Chicken Pox) or approximate date of when you contracted Chicken Pox.

MonthDayYear
Date

Education Background

List your previous educational experience.
Highest level of education completed (select all that apply)*

DoctoralMastersBachelorsAssociatesTechnical CertificateTrade CertificateHigh SchoolGEDOther
School Name (Highest level of education)
Dates Attended (Highest level of education)
Degree/Certificate Earned (Highest level of education)
School Name (Second highest level of education)
Dates Attended (Second highest level of education)
Degree/Certificate Earned (Second highest level of education)

Employment Background

Please list two previous employers.
Most recent employer (Company Name)*
Dates that you worked there (from - to)*
Supervisor's name (first and last)*
Supervisor's contact information (phone or email)*
Reason for leaving the company*
Previous employer (Company Name)*
Dates that you worked there (from - to)*
Supervisor's name (first and last)*
Supervisor's contact information (phone or email)*
Reason for leaving the company*

Ministry Background

Please answer all of the questions to the best of your ability. Your answers will help us gauge where you are in the discipleship process. Not having an answer to a question does not disqualify you from the application process.
Your Home Church (Name and Website)*
Church Address
Pastor's Name*
Your Ministry Involvement*

Discipleship Background

Please answer all the questions to the best of your ability. Your answers will help us gauge where you are in the discipleship process. Not having an answer to a question will not disqualify you from the application process.
Who is the last person you led to Jesus (name)?
What is their contact information (phone or email)?
Approximate date you led the person to Jesus

MonthDayYear
Date
Share at least a paragraph story of how you met, what caused them to turn to Jesus, where you led them to Jesus (church, coffee shop, cafe, etc.), and how you led them through the process of repentance and into salvation.
Describe the last discipleship group you were involved with. What was the emphasis (evangelism, discipleship, book study, affinity based)?
What did your participation in this group include (leader, co-leader, participant)?
Have you ever been part of a church plant?*

YesNoOther
Name of church plant (if applicable)
Location of church plant (if applicable)
Date of church plant (if applicable)

MonthDayYear
Date
Write a short narrative of your journey with the church plant and what God did through it.

Current Discipleship Activity

List at least five names with contact information, and a group photo if possible, of people you are currently discipling.
1) Name of person you are discipling (first and last name)
Their contact information (phone or email)
2) Name of person you are discipling (first and last name)
Their contact information (phone or email)
3) Name of person you are discipling (first and last name)
Their contact information (phone or email)
4) Name of person you are discipling (first and last name)
Their contact information (phone or email)
5) Name of person you are discipling (first and last name)
Their contact information (phone or email)
Please attach a photo of you with your group of disciples.

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List your five closest friends who are not born again yet (name only).

Medical Disclosure

If you are currently on any medications, which are prescribed and being regulated by a doctor we must know for liability reasons. All information you provide will be kept confidential.
Medications (list all)
Prescribing doctors name
Prescribing doctors phone number
I agree to continue taking these medications under the supervision of my doctor’s care throughout my time at MANDATE. I understand that failure to keep taking my medications under my doctor’s care is grounds for my immediate dismissal. By checking this box you agree to these terms and agree that the above information is correct.
Signature*

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Finances

All financial information will be kept confidential.
How do you plan on paying the full amount of the program tuition (savings, gift from a family member, sponsored by your church, etc.)?*
Do you currently have any financial debt?*

YesNoOther
If yes, please explain your plans for managing that debt if accepted into Mandate.
Additional Funds

Program tuition includes two meals each day (lunch and dinner) prepared by a cook (Tuesdays through Saturdays except where noted in the schedule). Remaining meals must be provided by the student. NOTE: Due to Newlife Community Church’s weekly Food Ministry program to Pomona, participants have access to food provided for this ministry, which will lower personal food costs. However, it is up to the participant to choose food they enjoy and take it back to their housing.
Beyond tuition, how will you provide for expenses such as extra food, laundry, phone, personal supplies, additional course material, and recreation?*

Reference Forms

Please download the following form to be given to those three people who are willing to be a reference for you, two pastoral and one personal. Please have them submitted to: MANDATE ADMISSIONS, 275 E. Foothill Blvd, Pomona, CA 91767 Or they may email/scan them to: info@mandate.global
Download forms here: *

Mandate Guidelines

Teachability: We ask that every student be teachable, willing to learn, and honest in his/her pursuit of holiness.Vacation: Personal breaks are only permitted for emergencies. Participants are expected to plan ahead to keep the program an uninterrupted season of consecration and impartation.Personal Appearance: Participants are expected to uphold a clean, modest, and non-distracting appearance in their dress for all meetings, sessions, services, and gatherings throughout Mandate. We desire to bring glory to Jesus with the way we physically present ourselves.Health Insurance: Applicants should provide their own health insurance coverage. Mandate is not responsible for covering hospitalization, visits to the doctor, or for providing medications for basic cold/flu, or headaches.Vehicle: Participants are responsible for their timeliness (i.e., they must be punctual for meetings and sessions) whether they have a vehicle or not. Mandate will provide transportation to and from all Mandate related responsibilities, if needed, or you you may use your own vehicle. Personal Expenditures: Participants are required to have sufficient funds to cover all personal and living expenses incurred throughout the program. Due to the nature of the program, simultaneous employment is impossible. Please contact Mandate leadership if you have an extenuating circumstance that needs to be discussed.Foundational Commitments: We recognize that external rules of behavior are not the highest ideal for any Christian community and desire that our motivation for holiness would be love for Jesus and his people, not rules. In this spirit we affirm the following: The Mandate community expects all of its staff members and participants to make a personal commitment to live counter to the prevailing moral laxity of our society by not participating in, advocating, supporting, or condoning sexual activity (heterosexual or homosexual) outside of marriage. Further, we will demonstrate our commitment to Christ and to each other by refraining from the use of tobacco, alcohol, drugs, hookah, or vape. Please reference the Mandate Participant Handbook for our Statement of Faith.
Please acknowledge your agreement with the following by checking each box.*

I understand that Mandate will include practical ministry training and service to others.I understand that I must secure a minimum payment of $8,400 USD before attending Mandate.I understand that I must secure funds sufficient to cover all my personal expenses.I declare that the information I have provided in my application is true, accurate, and complete.I understand that providing false information in my application may be grounds for denial of my application and/or dismissal from Mandate.I understand and agree to follow all Mandate guidelines and commitments listed above, including, but not limited to the Mandate Guidelines listed on the prior page.
This electronic signature declares you have read this application carefully, that you have answered honestly and truthfully, and declares your agreement to the checked boxes above.*

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Assumption of Risk Waiver COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited or limited the congregation of groups of people. Newlife Community Church ("the Church") has put in place preventative measures to reduce the spread of COVID-19; however, the Church cannot guarantee that you or your family will not become infected with COVID-19. Further, attending the Church could increase your risk, and your family’s risk, of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my family and/or I may be exposed to, or infected by COVID-19 by attending the Church or Church-related activities; and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Church or Church-related activities may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Church employees, volunteers, and Church-related activity participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my family or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my family may experience or incur in connection with my family's attendance at the Church or participation in Church-related activities ("Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Church, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Church, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Church-related activity.
I understand and agree that the law of the State of California will apply to this Waiver of Liability, I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS WAIVER OF LIABILITY, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE: *

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Should be Empty:

	Weak	Fair	Good	Outstanding
Spiritual Maturity
Devotion to Jesus
Integrity and honesty
Openness to correction
Self-discipline
Working without supervision
Willingness to serve
Ability to work with others
Communication skills
Leadership skills
Reliability
Teachability
Emotional stability
Physical health
Family life

Mandate Application

Why Mandate?

Personal Information

Travel Documents and Immunizations

Legal and Family Status

Education Background

Employment Background

Ministry Background

Discipleship Background

Current Discipleship Activity

Personal Evaluation

Health Information

Medical Disclosure

Finances

Reference Forms

Mandate Guidelines

Assumption of Risk Waiver COVID-19