Embassy College Admission

Life Leaders University

Application for Student Enrollment
Please refer to the Life Leaders University Student Catalog for information regarding the contents of this application.
Applicant Information
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number

Area CodePhone Number
Texting on Mobile Phone?

YesNo
Other Phone Number

Area CodePhone Number
E-mail
Birth Date

MonthDayYear
Gender
Type of Enrollment

Solo Student
Choose Your Training Affiliate Training Center*

Education
Payment type

USD
High School
Location
From

MonthDayYear
Starting Date
To

MonthDayYear
Ending Date
Did you graduate?

YesNo
College
Location
From

MonthDayYear
Starting Date
To

MonthDayYear
Ending Date
Did you graduate?

YesNo
Degree
Other
Location
From

MonthDayYear
Starting Date
To

MonthDayYear
Ending Date
Did you graduate?

YesNo
Degree
Notes
Any special notes or comments?

Ability to Benefit
Special Case

I did not finish high school.I am a high school junior/senior.
Advanced Standing
Advancement

I will submit my prior education transcripts for review.I will submit my ministerial experience for review.I will submit my education transcripts and ministerial experience for review.
Personal Testimony
Testimony
Please write a brief testimony of your conversion and commitment to Jesus Christ.
Desire to Study
Why?
Please explain why you want to be an Life Leaders University Student.

Life Leaders University
STUDENT DISCLOSURE STATEMENT

To be signed and dated prior to enrollment acceptance by all students making an application to Life Leaders University.

“The Life Leaders University offers church-related training courses and degrees that are not transferable as academic degree programs to colleges and universities accredited by agencies recognized by the United States Department of Education.”

By signing the Student Disclosure Statement, I acknowledge that I understand this statement and I acknowledge that Life Leaders University will keep this application as a part of my official student records.
Disclosure Authorized Signature*

Clear
Use Landscape Mode on Phone Devices
Date*

MonthDayYear
Date of Signed Disclosure Statement

References
Name
Relationship to You
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Name
Relationship to You
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Name
Relationship to You
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com

Standards of Conduct
The following Standards of Conduct are practiced by the Life Leaders University community.
1. We strive for excellence in all that we do;
2. We submit to the authority of the Scriptures in matters of faith and conduct and to the control of the Holy Spirit;
3. We cooperate respectfully with those in authority;
4. We participate actively in promoting the cause of Christ, including endeavoring to win others to faith in Him;
5. We acknowledge that we are to present ourselves as a living and holy sacrifice acceptable to God (Romans 12:1-2), to live a life above reproach (1 Timothy 3:2), and to do our best to refrain from behavior that might cause another person to stumble or be confused (1 Corinthians 8:9);
6. We use wisdom and Christ-like discretion in the application of Biblical principles to decisions regarding all areas of life, such as the involvement with various forms of media, social interaction, and our relationships to others;
7. We accept the responsibility to actively uphold the Code of Conduct and to refrain from any action that would be detrimental to spiritual growth, the safety or well-being of others or that would impair the ability of others to follow the Code of Conduct (1 Pet. 2:11, Rom. 14:13).
MY PLEDGE TO LIFE LEADERS UNIVERSITY

I understand that the Standards of Conduct are a guide to my behavior as a part of the Life Leaders University family. While it is recognized that personal preferences differ and that every member of the college family might not agree with every detail of these standards, I must honorable adhere to them. Such an attitude on my part is a way I can develop Christian discipline, exhibit Christian maturity and demonstrate the love of Christ in concern both for the integrity of the college itself as well as for the personal welfare of other believers.

Further, I understand that failure to cooperate in maintaining the standards will lead to appropriate disciplinary action and/or possible dismissal or termination from Life Leaders University. I agree to abide by the Standards of Conduct.

Application Submission
MY CERTIFICATION

I agree to abide by the Standards of Conduct. I certify that this application is accurate and complete to the best of my knowledge and request that the Life Leaders University Officers receive me as an officially enrolled student and member of the Life Leaders University family.
Application Signature*

Clear
Date*

MonthDayYear
Date
After submitting this form, your next step is to receive an email from the university confirming your acceptance as a student and a payment link for the one-time application fee of $25.00. Our response time is two business days or less.

NOTE: After payment of the application fee, students receive by email their login credentials to the online campus.
Should be Empty:

Life Leaders University

Applicant Information

Education

Ability to Benefit

Advanced Standing

Personal Testimony

Desire to Study

Life Leaders University

References

Standards of Conduct

The following Standards of Conduct are practiced by the Life Leaders University community.

Application Submission