Application 2019 - 2020

[Pages:19]Please answer all questions. If a question does not apply, please write N/A.

Rev 2/13/2019

Application 2019 - 2020

Application may also be completed online at: gssm-hampton-roads

Name: _________________________________________________________________ Nickname: ___________________________ (Exactly as it appears on your passport)

Street Address: _______________________________________________________________________________________________

City: ___________________________________ State: _____ Zip: __________ Country: ___________________________________

Home: (_____)________________ Cell: (_____)________________ E-mail: ______________________________________________

Are you a US citizen?

Yes

No

If no, country citizenship? _________________________________________

Emergency Contact Name: ______________________________________________________________________________________

Relationship: ___________________________________________________________________ Phone: (_____)________________

PERSONAL

Gender: Male

Female

Date of Birth: _____/_____/_____ Age: _____ Birthplace: ________________________

Marital Status: Single Married Separated

Divorced Widowed

If separated, divorced, or widowed when did this occur? ______________________________________________________________ Name of spouse, if married: _____________________________________________ Date of Birth: _____/_____/_____ Age: ______

Anniversary Date: _____/_____/_____ Do you have the support of your spouse to attend Global School? Yes

No

If no, briefly explain: ___________________________________________________________________________________________ ____________________________________________________________________________________________________________

Children: (names and ages) _____________________________________________________________________________________ ____________________________________________________________________________________________________________

Father's Name: _______________________________________ Living? Yes No Mother's Name: ______________________________________ Living? Yes No

Phone: (_____)________________ Phone: (_____)________________

1233 SHIELDS ROAD, NEWPORT NEWS, VA 23608 ? 1-757-874-1223 EXT. 1222 ? GSSM-HAMPTON-ROADS

SPIRITUAL

Rev 2/13/2019

Application 2019 - 2020

When did you accept Jesus Christ as your Lord and Savior? ____________________________________________________________

____________________________________________________________________________________________________________

Have you had an Acts 2:4 experience?

Yes

No

Unsure

Have you been water baptized? Yes

No

Do you attend church regularly? Yes No How long have you been attending there? ____________________________

Do you tithe regularly?

Yes

No

Have you recently left another church? Yes No

If yes, was it a good parting or were there unresolved issues? __________________________________________________________ ____________________________________________________________________________________________________________

Home Church/Denomination: ___________________________________________________________________________________

Pastor's Name: _________________________________________________________________ Phone: (_____)_________________

In what areas of church life are you currently serving or have served in the past? __________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

Do you, or have you ever, held ministerial credentials? If so, when, with who, and what kind? ________________________________ ____________________________________________________________________________________________________________

What do you believe are your spiritual giftings? _____________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

Are you willing to submit to being monitored and lovingly corrected if necessary? Yes

No

Are you willing to minister in a way consistent with Global Awakening ministry guidelines? Yes No

1233 SHIELDS ROAD, NEWPORT NEWS, VA 23608 ? 1-757-874-1223 Ext. 1222 ? GSSM-HAMPTON-ROADS

HEALTH

Rev 2/13/2019

Application 2019 - 2020

Do you have a physical disability? Yes No If yes, please describe: _____________________________________________

____________________________________________________________________________________________________________

Have you ever received a diagnosis of any disease or cancer? Yes No If so, please describe: _________________________ ____________________________________________________________________________________________________________

Have you ever been treated, or been recommended to receive treatment, for any mental or emotional condition? Yes No If so, please describe: __________________________________________________________________________________________ ____________________________________________________________________________________________________________

Please list any medications you are currently taking and for what purpose: _______________________________________________ ____________________________________________________________________________________________________________

Please list any allergies to food, medicine, etc: ______________________________________________________________________ ____________________________________________________________________________________________________________

Medical Insurance Provider: _____________________________________________________________________________________ Policy #: _______________________________________________________________________ Phone: (_____)________________

How would you describe your temperament? ______________________________________________________________________ ____________________________________________________________________________________________________________

EDUCATION / SKILLS / MINISTRY TRAINING EXPERIENCE

High School: ______________________________________ Graduated? Yes No Date Graduated/GED: _____/______/_____

College: __________________________________________ Graduated? Yes No Date Graduated: _____/_____/_____

College Year Completed? 1

2

3

4 Degree: _________________________________________________

Have you received any ministry training in the area of healing?

Yes

No If so, please describe: ___________________

____________________________________________________________________________________________________________

1233 SHIELDS ROAD, NEWPORT NEWS, VA 23608 ? 1-757-874-1223 Ext. 1222 ? GSSM-HAMPTON-ROADS

Rev 2/13/2019

Application 2019 - 2020

Have you received any other Christian ministry training? Yes No If so, please describe: __________________________

____________________________________________________________________________________________________________

Are you fluent in any languages other than English?

Yes

No If so, please list language(s): ______________________

____________________________________________________________________________________________________________

Do you have any musical ability? Yes No If yes, please describe: ___________________________________________ __________________________________________________________________________________________________________

HISTORY

Answering "yes" to the following questions will not automatically disqualify the applicant from acceptance.

Have you used tobacco, illegal drugs or abused alcoholic beverages in the last 3 years?

Yes No

If yes, please explain: __________________________________________________________________________________________

____________________________________________________________________________________________________________

Have you ever been involved in sexual immorality (pre-marital sex, homosexuality, adultery, pornography, etc)? Yes No If yes, briefly explain the involvement and how long it has been since you were last involved: ________________________________ ____________________________________________________________________________________________________________

Have you ever been arrested or convicted? Yes No If yes, when? ___________________________________________ Please give a brief explanation: __________________________________________________________________________________ ____________________________________________________________________________________________________________

Have you ever been involved in the occult, witchcraft or cults? Yes No If yes, when? ___________________________ Please give a brief explanation: __________________________________________________________________________________ ____________________________________________________________________________________________________________

Have you ever been involved in the occult, witchcraft or cults? Yes No If yes, when? ___________________________ Please give a brief explanation: __________________________________________________________________________________ ____________________________________________________________________________________________________________

1233 SHIELDS ROAD, NEWPORT NEWS, VA 23608 ? 1-757-874-1223 Ext. 1222 ? GSSM-HAMPTON-ROADS

EMPLOYMENT

Rev 2/13/2019

Application 2019 - 2020

Occupation: _______________________________________________ Present Employer: __________________________________

Phone: (_____)________________

May we contact your employer if necessary?

Yes No

FINANCES

How do you plan to pay for your educational expenses? ______________________________________________________________ ____________________________________________________________________________________________________________

Do you plan on being employed while attending Global School?

Yes No

How did you hear about Global School of Supernatural Ministry Hampton Roads? _________________________________________ ____________________________________________________________________________________________________________

Additional Comments/Remarks: _________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

AGREEMENT

I understand that any falsification of information on this application is grounds for dismissal at any time.

I,____________________________________, declare that the information provided by me on this application is true and correct

to the best of my knowledge. I authorize Global School of Supernatural Ministry Hampton Roads to verify any and all information

provided above.

___________________________________________________________________ Applicant's Signature

____________________________ Date

ALONG WITH THIS APPLICATION, PLEASE INCLUDE THE $50.00 APPLICATION FEE MADE PAYABLE TO: WOWC/GSSM

Please return to: Global School of Supernatural Ministry Hampton Roads 1233 Shields Road, Newport News, VA 23608 Phone: (757) 874-1223 x1222 Fax: (757) 234-4376 E-mail: gssm@

1233 SHIELDS ROAD, NEWPORT NEWS, VA 23608 ? 1-757-874-1223 Ext. 1222 ? GSSM-HAMPTON-ROADS

TESTIMONY AND PURPOSE STATEMENT

Rev 2/13/2019

Application 2019 - 2020

Name: _______________________________________________________________________________ Date: _____/_____/_____

Give a brief description of your Christian experience (how you came to know the Lord, your present walk with the Lord, etc.). Please type or print legibly. ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

1233 SHIELDS ROAD, NEWPORT NEWS, VA 23608 ? 1-757-874-1223 Ext. 1222 ? GSSM-HAMPTON-ROADS

Rev 2/13/2019

Application 2019 - 2020

Briefly explain why you want to attend Global School of Supernatural Ministry Hampton Roads. ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

1233 SHIELDS ROAD, NEWPORT NEWS, VA 23608 ? 1-757-874-1223 Ext. 1222 ? GSSM-HAMPTON-ROADS

Rev 2/13/2019

Application 2019 - 2020

Discipline Policy

The goal of Global School of Supernatural Ministry Hampton Roads is to create a safe, healthy environment in which every student can grow and prosper. We recognize that the students of the Global School of Supernatural Ministry Hampton Roads must be in correct relationship with God and with others, in order to ensure completion of the school's mission objectives. The consequences of one's sin or disobedience have the potential to bring confusion and destruction in the Global School of Supernatural Ministry Hampton Roads to follow the biblical patterns of discipline within the confines of all student activities. If any individual is involved in any sin that cannot, at the discretion of Global leadership, be taken care of in a timely manner or would affect the students in an adverse way, Global leadership reserves the right to give correction, public rebuke and/or dismissal.

I agree to follow the directions and decisions made by Global Awakening Leadership regarding myself or other students in the school.

SIGNED: _____________________________________________________________________________ DATE _____/_____/_____

Liability Release

WARNING: THIS IS A COMPLETE RELEASE OF ANY POTENTIAL CLAIMS.

I, _________________________________________________, in consideration of my being accepted by the Global School of Supernatural Ministry, for the 2018/2019 school year, I hereby acknowledge that Global Awakening, the Apostolic Network of Global Awakening, Global School of Supernatural Ministry and WOW Center do not accept any responsibility for injury, illness or loss suffered by me, and that I will be responsible for all medical or personal expenses in connection with or made necessary by my illness or injury during my course of any involvement with the Global School of Supernatural Ministry Hampton Roads. I further acknowledge that Global School of Supernatural Ministry Hampton Roads has recommended that I carry or obtain primary medical insurance to cover possible additional medical needs, especially related to previously existing medical conditions.

Address: ____________________________________________ City: _____________________ State: __________ Zip: __________

SIGNED: _____________________________________________________________________________ DATE _____/_____/_____

Media Release

Global School of Supernatural Ministry will take photographs and video footage of the School for advertising, promotional materials, web page, and publications. In signing below, you fully authorize Global School of Supernatural Ministry to use video or photographs taken of you in any or all of the above mentioned materials.

I authorize Global School of Supernatural Ministry to use any photographs or video footage taken of myself in any and all publications mentioned above.

SIGNED: _____________________________________________________________________________ DATE _____/_____/_____

1233 SHIELDS ROAD, NEWPORT NEWS, VA 23608 ? (757) 874-1223 EXT. 1222 ? GSSM-HAMPTON-ROADS

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