Lifepoint College Evening Program Application for Enrollment
Please fill out this form to apply for enrollment for the 2017-2018 academic school year. There is a non-refundable $50 application fee for applying. Follow the link in your confirmation email to submit the fee.
To which are you applying?
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Southeastern University at Lifepoint Church (Evening)
Lifepoint College Evening Program
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
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Area Code
Phone Number
E-mail
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Birth Date
*
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Month
-
Day
Year
Date Picker Icon
Gender
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Male
Female
What is your T-shirt size?
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XSmall
Small
Medium
Large
XLarge
2XL
3XL
4XL
Driver's License #
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Issuing state
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US Citizen or Permanent Resident
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Yes
No
Are you over the age of 18 at the start of this program?
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Yes
No
EDUCATION INFORMATION
Graduation Date
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Month
-
Day
Year
Date Picker Icon
Have you attended College?
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Yes
No
Major
Highest degree earned
Have you previously attended an internship or leadership school?
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Yes
No
Which one?
Director's name and number
May we contact this person?
Yes
No
Dates Attended
TUITION & FEES
Applicants must fill out the Free Application for Federal Student Aid (FAFSA) to determine eligibility for financial aid and tuition and fees if wishing to pursue Southeastern University at Lifepoint Church. Payment plans through Southeastern University are also available. For more information, please visit partners.seu.edu/
EMPLOYMENT INFORMATION
Are you currently employed?
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Yes
No
Current Employer
Manager's Name
Phone Number
-
Area Code
Phone Number
Position
Date Hired
-
Month
-
Day
Year
Date Picker Icon
May we contact this person?
Yes
No
FINANCIAL INFORMATION
How do you plan to pay for your tuition?
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Will you have the required amount saved by the deadline?
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Yes
No
Do you have access to a personal computer? (Requirement for Lifepoint College)
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Yes
No
CHURCH INFORMATION
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
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-
Area Code
Phone Number
Senior Pastor
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List areas where you are currently involved in your church
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What church do you regularly attend?
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Are you in a small group?
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Yes
No
Have you ever been baptized?
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Yes
No
When did you accept Christ?
*
-
Month
-
Day
Year
Date Picker Icon
How many times per week do you attend church?
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Please check the groups/ministries in which you have experience:
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Outreach/Evangelism
Audio/Visual
Photography
Creative Team
Worship Team
Children
Office/Clerical
Small Groups
Youth Production
Musical Instrument
Please check the groups/ministries in which you are interested in joining:
*
Outreach/Evangelism
Audio/Visual
Photography
Creative Team
Worship Team
Children
Office/Clerical
Small Groups
Youth Production
Musical Instrument
Please type 5 words that you believe accurately describe you: (i.e. timid, nervous, kind, gentle, verbal, patient)
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List four strengths you have
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What are some necessary qualities you feel one must have to be a leader?
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How did you hear about our program?
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If accepted, are you willing to make a 2 year commitment?
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Yes
No
Please upload a 200-500 word essay of your personal relationship with God.
Please send below link to your pastor to fill out recommendation form. OR if you already have that letter, please upload your pastoral reference letter here.
https://form.jotform.us/70395614275157
Please upload a copy of any unofficial high school/college transcripts. If you are currently still enrolled in high school, you do not need to upload a final transcript, but an unofficial transcript of what has been completed to date.
By signing your name in the box below, I attest that I have honestly completed this application form and have answered the questions to the best of my ability.
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First Name
Last Name
How did you hear about Lifepoint College?
Video/Film during service at Lifepoint Church
College Environment on Sunday at Lifepoint Church
Social Media
Other Events
Other
Submit
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