New Life Temple Bible College & Leadership Institute APPLICATION FOR ADMISSION

New Life Temple Bible College & Leadership Institute APPLICATION FOR ADMISSION

NEW LIFE TEMPLE BIBLE COLLEGE & LEADERSHIP INSTITUTE APPLICATION FOR ADMISSION Please PRINT of TYPE. Answer all questions. Application will not be processed nor academic standing be assessed unless all questions are answered and the application is signed and dated by the applicant. Do not leave any question blank. Put N/A if an item, such as a fax number or email address, does not apply. GENERAL INFORMATION: Dr./Mr./Mrs./Ms. Last Name First Middle Initial Jr./Sr./Other Address City State Zip _ Home Phone w/area Code Work Phone w/area Code Cell Phone w/area Code _ Email address Occupation _ Birthdate (MM/DD/YYYY) Birth Place GENDER: Female Male RACE: Caucasian Black Jewish Hispanic Native American Asian Other MARITAL STATUS: Single Married Divorced Widowed U.S. CITIZENSHIP: Yes No If No, What Country PERSONAL REFERENCES: Emergency Contact Relationship Phone w/area Code 1. Name Phone Number/Email Address Relationship 2. Name Phone Number/Email Address Relationship 1

EDUCATIONAL BACKGROUND: Did you graduate from high school? If not, have you earned a GED Yes No High School Graduate Date (Month Year) List all colleges/universities (bible and others) attended and their locations (use additional sheet if needed) 1. College/University City/State/Country, if not US Dates Attended Major Field Degree or # of Credits 2. College/University City/State/Country, If not US Dates Attended Major Field Degree or # of Credits 3. College/University City/State/Country, if not US Dates Attended Major Field Degree or # of Credits Educational background must be supported by the following documentation: original, sealed, official transcripts must be sent directly to NLTBC using the request forms included with this application package. Applicants are responsible for ordering and paying for all transcripts. Campus that applicant will be attending: Cincinnati Campus Cote D,Ivoire Campus Degree or Course Applying for: Associate Degree Bachelor Degree Masters Degree Audit Courses Leadership Training Course Declaration in Major: Biblical Studies Ministry Pastoral Ministry 2

MINISTRY EXPERIENCE: Current Ministry Status, If Any: None (N/A) Senior Pastor Missionary Chaplain Youth Minister Church/Ministry Administrator Assistant Pastor Evangelist Children s Minister Music Minister Lay Minister Other If Other is checked describe ministry experience: Are You Currently Licensed or Ordained? Licensed Ordained N/A Credentialing Organization Past Ministry Involvement: Pastoral Evangelism Teacher Radio/TV Elder Administrative Deacon Minister Ministry of Helps Other How many years in Ministry? As a completion to the application process, we ask all applying candidates to include a Statement of Faith and Personal Testimony. Your Statement should include the following sections and be no more than two (2) pages long: Your personal/professional profile Your statement of faith and your salvation testimony Your personal, educational and ministry goals for the future Other documents you may include are: Current resume Ministry credentials 3

STANDARD OF CONDUCT & CHRISTIAN INTEGRITY AGREEMENT We believe that every person must be afforded compassion, love, kindness, respect, and dignity. (Mark 12:28-31; Luke 6:31.) Hateful and harassing behavior or attitudes directed toward any individual are to be repudiated and are not in accord with Scripture nor the doctrines of NLT Bible College and Leadership Institute. We also believe that God wonderfully and immutably creates each person as male or female. These two distinct, complementary genders together reflect the image and nature of God. (Gen 1:26-27.) Rejection of one s biological sex is a rejection of the image of God within that person. We believe that the term marriage has only one meaning: the uniting of one man and one woman in a single, exclusive union, as delineated in Scripture. (Gen 2:18-25.) We believe that God intends sexual intimacy to occur only between a man and a woman who are married to each other. (1 Cor 6:18; 7:2-5; Heb 13:4.) We believe that God has commanded that no intimate sexual activity be engaged in outside of a marriage between a man and a woman. We believe that any form of sexual immorality (including adultery, fornication, homosexual behavior, bisexual conduct, bestiality, incest, and use of pornography) is sinful and offensive to God and cannot nor will not be tolerated while attending or teaching at NLT Bible College & Leadership Institute.(Matt 15:18-20; 1 Cor 6:9-10.) It is also the policy of this institution not to condone any manner of ungodly behavior, e.g., illicit drug use, stealing, lying, abuse, violence, etc. (2 Cor 12:20-21; Rom 1:18-31; Eph 5:3-8; Col 3:1-8) and to deal with all such offenses swiftly and biblically. (1Cor 5:9-13) We believe that in order to preserve the intentional function and Christian integrity of NLT Bible College and Leadership Institute which is a ministry of Harvest Time for Christ New Life Temple Church, and to provide a biblical role model to its members and the community, it is imperative that all students, persons employed by this school and local assembly in any capacity, or who serve as volunteers, agree to and abide by the above statements on Sexual Conduct, Marriage, Gender, and Sexuality. (Matt 5:16; Phil 2:14-16; 1 Thess 5:22.) They also agree to submit to and behave as people of God in accordance to the prescribed Word of God which states we are to abstain from all sexual immoral behavior. For this is the will of God, your sanctification; that is, that you abstain from sexual immorality; 1 Thes 4:3 We further believe that God offers redemption and restoration to all who confess and are willing to forsake their sin, seeking His mercy and forgiveness through Jesus Christ. (Acts 3:19-21; Rom 10:9-10; 1 Cor 6:9-11.) I certify by my signature that I have read and agree to abide by the policies of this institution as outlined in this agreement. Signature of Applicant Date 4

NON-DISCRIMINATION POLICY: NLT Bible College & Leadership Institute does not discriminate on the basis of race, color, nationality, ethnic origin, or gender. We guarantee the rights, privileges, and the availability of all programs and activities to all students of the College. PRIVACY RIGHTS OF THE STUDENTS Statute 20, United States Code, 1232g and regulations adopted pursuant thereto, hereafter, referred to as the Code, requires that each student be notified of the rights accorded him or her by the Code. The following is provided as basic general information relative to the Code: The Code provided for the institution to establish a category of student information termed "directory information." When available in college records, any information falling into the category of "directory information" will be available to all persons on request, i.e., the IRS, FBI, or other government agencies, and for use in NLTBC publications. NLTBC has identified the following student data as "directory information": Name Street address, city, State postal (Zip) code Telephone listing Race Date & place of birth All other information, such as health and medical records, disciplinary records, records of personal counseling, required student and family financial income records, transcripts or student permanent academic records, student placement records and other personally identifiable information shall be open for inspection only to the student and such members of the professional staff of the college as have responsibility for working with the student. Such information will not be released to second parties without consent of the student. Except as required for use by the President in the discharge of his official responsibility as prescribed by laws, regulations of the state board, and board policies, the designated custodian of such records may release information from these records to others only upon authorization in writing from the student or upon a subpoena by a court of competent jurisdiction. READ CAREFULLY BEFORE SIGNING: Please Check each box for verification I certify that I have truthfully and accurately answered all questions contained in this application. I understand that falsification of any kind is grounds for refusal of my application or expulsion should falsehood be discovered after acceptance into NLT Bible College & Leadership Institute. I indicate by signature that I have been notified of my rights as recorded by STATUTE 20, UNITED STATES CODE, 1232g. I certify by signature that I agree to abide by the policies of this institution as described in the NLTBC Catalog & Standard of Conduct & Christian Integrity Agreement. I understand that NLTBC is certified by the state of Indiana and is religious in nature. Denominational affiliation Dates of attendance Degrees & awards received Most-recent previous educational institution attended Major field of study Church Membership I acknowledge that NLTBC is not a job placement service and makes no claims regarding employment. Signature of Applicant Date Request any applicable transcripts immediately. Complete this application and include $50.00 (application fee). Make all checks payable to New Life Temple Bible College. In addition to the application and fee, complete a one to two page Statement of Salvation and Personal Testimony along with your Educational and Ministry Goals. Mail your application package to New Life Temple Bible College, 4836 Ward Street, Cincinnati, Ohio 45227. If you hand carry your application package to the school please make sure one of the school administrators receive it. 5

NEW LIFE TEMPLE BIBLE COLLEGE & LEADERSHIP INSTITUTE APPLICATION CHECKLIST You may apply for admission to NLBTC using the following forms or online at www.nltbiblecollege.org. To discuss your degree options with an enrollment advisor, please call 513.561.5120. Completed Application for Admission Form, including signature and date $ 50.00 nonrefundable application fee Statement of Faith and Personal Testimony Your Statement should include the following sections and be no more than two (2) pages long: Your personal/professional profile. Your statement of faith and your salvation testimony Your personal, educational and ministry goals for the future Optional documents you may include Current resume Ministry credentials Send your completed application to: New Life Temple Education c/o Rhonda Hudson or David Brown Admissions 4836 Ward Street Cincinnati, Ohio 45227 6