Gateways - Training School Form

PERSONAL INFORMATION

Last Name:
First Name:
Middle Name:
Gender:

Date Of Birth:
Place of Birth:
Marital Status:

ADDRESS & CONTACT

Address:
City:
State:
Zip / Postal Code:
Country:

Home Tel:
Work Tel:
Fax:
Email:

CONGREGATION

Do you attend a congregation regularly?

YES NO

Are you a member?

YES NO

Name of Congregation:
Pastors Name:
Pastors Tel:
Pastors Email:

Address:
City:
State:
Zip / Postal Code:
Country:

Date you made a commitment to follow Yeshua:

Have you been water baptised?

YES NO

Have you had an Acts 2:4 experience,

YES

being baptised in the Holy Spirit?

PASSPORT INFORMATION

Passport Number:
Name as listed on Passport:
Passport Expiry Date:
City and Country where passport was issued:
Country of Citizenship:

List the foreign countries you have travelled to including the date and purpose of trip:

Have you ever been refused a visa, if so specify countries:

SKILLS & EDUCATION

Musical Ability:

Occupational Skills:

Languages:

Date graduated from high school / GED:

Years of college/university completed:

Degree in:

Degree completed:

YES NO

Please rate your experience in the following areas.

Public Speaking:		Leading Bible studies:
Personal Counselling:		Preaching:

EMPLOYMENT

Your employer may be contacted.
Present Employer:		Address:
Length of Employment:		City:
Emplyer's Phone number:		State:

		Zip / Postal Code:
		Country:

SELF EVALUATION

Please evaluate your personal strengths and weaknesses. 10 being the highest.
Relating to new people:		Maintaining friendships:
Sense of humor:		Ability to finish what is started:
Conversations with strangers:		Ability to submit to leadership:
Establishing relationships:		Problem solving:
Confronting:		Encouragement:
Listening:		Being an example:

HISTORY

NOTE: Answering YES to the following questions will NOT* automatically disqualify you from acceptance.*
Have you used tobacco, illegal drugs, or excessive alcohol in the past 2 years?	YES NO
Have you ever been arrested?	YES NO
Have you ever been involved with the occult, witchcraft, or cults?	YES NO
Have you been involved in an immoral relationship with the opposite or same sex?	YES NO
If the answer to any of the questions above is YES, please explain below.

ESSAYS

Please answer the following questions briefly, yet completely to the best of your ability.

1.Describe your conversion experience and your present relationship with the Lord.

2. Explain why you are interested in attending this particular school.

3. Describe any ministry goals including Jewish outreach.

4. What do you see as your strongest and weakest character qualities? Why?

5. Who has made the biggest impact on your life, besides the Lord? Explain.

6. Does your family know and endorse your plans to attend this school?

PERSONAL MEDICAL INFORMATION

In case of an emergency, please let us know who we can contact.

Contact Name:
Address:
City:
State:
Zip / Postal Code:
Country:

Relationship:
Home Tel:
Work Tel:
Fax:
Email:

Height:

Weight:

Blood Type:

{O,B,B,AB,+,-)

I would describe my health fitness as:

Are you allergic to any drugs or medication?	YES NO
Do you have a physical handicap, disability, or disease, which might affect your ability to fully function as a student?	YES NO
Do you have any chronic illness or allergies (including food)?	YES NO
If the answer to any of the questions above is YES, please explain below.

In case of an emergency do you agree to the performance of such treatment, including anesthesia and surgery, as the attending doctor or physician may deem necessary?	YES NO

OTHER INFORMATION

Location of school applying for:

Date of school applying for:

Do you have all your school fees?

Do you have outstanding debts?

Do you know or are you in relationship with anyone who has or is applying to the upcoming GTS? (if so please give the name)

Where did you hear about the Gateways Training School?

Any Other Information:

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 GTS Handbook. I accept the stated policies and agree to abide by them while a student at the Gateways Training School.

Applicant's Initials: