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Full Name

Current Address

City

State

Zip Code

Permanent Address(if different)

City

State

Zip Code

Email Address

Phone Number

Cell Phone

Birth Date

Gender

Social Security Number

Are you a US citizen?

Are you a resident alien?

Birthplace

Tee Shirt Size

Sweat Shirt Size

Ring Size (Must have a Jeweler size it)

Educational History

Highschool

Dates Attended

Did you graduate?

College

Dates Attended

Course of Study

Other Education

Family History

Marital Status

Name of Spouse

Children

Name of Father or Guardian

Address

City

State

Zip Code

Phone Number

Has he accepted Christ?

Occupation

Church

Name of Mother or Guardian

Address

City

State

Zip Code

Phone Number

Has she accepted Christ?

Occupation

Church

Health Information

How would you describe your health?

List any allergies

List any medications you are currently using

Please describe any physical limitations, mental illness and/or emotional conditions.

Has your education/employment been disrupted because of a physical or nervous disorder?

Mc History

Are you currently, or have you been a student or a staff member at another Master's Commission?

If yes, which program?

What year(s) have you completed?

Will your director give you a positive recommendation?

Personal History

Have you used or are you currently using illegal drugs?

If yes, date of last use:--

Have you ever misused or abused a legal drug (over the counter or prescription)?

If yes, date of last use:--

Do you currently smoke?

Do you drink alcoholic beverages?

If yes, date of last use:--

Have you ever been arrested?

If yes, when--

Were you convicted?

Have you ever been involved in homosexuality/lesbianism?

How long since last involved?

Are you a sex offender?

If yes, are you registered?

Do you have any eating disorders?

If yes, have you sought treatment?

Do you have an addiction to pornography?

Have you ever intentionally injured yourself? (i.e. cutting, burning)

How long since last incident?

Are you prone to violent behavior?

Are you a dishonest individual?

Financial Information

How do you plan to pay for your tuition?

Will you have the total amount by the required date?

If no, please explain.

Do you have your own vehicle?

Do you have auto insurance?

List any debts, loans, or payments that you currently have

Will your debts be paid off by the start of MC?

If no, how will you make payments?

Do you have health insurance?

Employment History

Are you currently employed?

Present Employer

Position

Date Hired--

Past Employer

Position

Date Hired

Reason for leaving:

Date--

Church History

Name of home church

Denomination

Address

City

State

Zip Code

Phone Number

How long have you attended?

Do you attend regularly?

Are you a member?

Senior Pastor

Youth Pastor

When did you accept Christ?

Have you been baptized in water?

Have you had an Acts 2:4 experience? (not required for acceptance)

Are your parents/guardians supportive of you coming to MC?

If no, please explain why:

Reference 1

Phone:

Reference 2

Phone:

Reference 3

Phone:

What is your definition of a servant?

What is your idea of ministry?

If you were accepted to MC 360, what is it that you would desire most from God?

Why do you want to be a part of Master's Commission 360?