Evening School Application Form

Vital information
Full Name*
First NameLast Name
E-mail*
Phone Number*
Area CodePhone Number
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Photo of You
Upload a File
please upload a recent head-shot photo of yourself. Maximum 2Mb.Cancelof

Your Health
Please described any physical or emotional conditions, state and special attention, treatment or medication required:
Do you have any special dietary requirements?
Education
List your GCSE's, O-levels, CSE
List your A-levels, Further Education awards
List your Degree(s) / Higher Education awards

Employment
Your employer may be contacted for a reference
Occupation
Present Employer
Employer's Phone Number
Area CodePhone Number
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Employers E-mail

Statement of purpose
Give a brief description of your Christian experience (how you came to know the Lord; your present walk with the Lord. Please Limit statement to 500 words*
0/500
Briefly explain why you want to attend The London School of Supernatural Ministry. Please Limit statement to 500 words.*
0/500
What are you passionate about? Please Limit statement to 500 words.*
0/500

References
Your will need to provide two references (Not family, someone who has know your for at least 2 years) and your pastor's reference.
Reference One - Full Name*
First NameLast Name
Reference One - E-mail*
Reference One - Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Reference Two - Full Name*
First NameLast Name
Reference Two - E-mail*
Reference Two - Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Pastor's - Full Name*
First NameLast Name
Pastor's- E-mail*
Pastor's - Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry

Agreement
I understand that any falsification of information on this application is grounds for dismissal at any time. I hereby certify that I have read The London School of Supernatural Ministry Polices found on the website www.iLSSM.org.uk.
I accept them, and agree to abide by them while at the London School of Supernatural Ministry.
By clicking Yes I certify and agree with the above statement.*
I agreeI don't agree
I am available for interviews on Monday 25th, Tuesday 26th or Wednesday 27th June 2012 during the day?*
YesNo
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Vital information