New Life Bible College & Seminary
New Life Bible College & Seminary
Application for Extension College Program
Ministry Name __________________________College Name_____________________________
Ministry Address: (Please be sure to include country)
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Ministry Phone: __________________ Fax: _______________________E-Mail: _____________
Contact Person _____________________________ Title_______________________________
Home Phone (___)_________________________ Business Phone (___)____________________
Email Address __________________________ Best Time To Contact______________________
Contact Person’s Address:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please tell us about your program. What type of program will you have and who will you be ministering to through your college?
Is your college already established? If yes, please tell when it was founded and a little about its history.
Do you expect to operate an online program? _____Yes ______No
(Note: NLBC&S doesn’t allow extensions to operate online programs as they have the potential to take away from other extensions in different areas.)
Tell us about your College Administrator:
Name:_______________________________________
Home Phone (___)______________________ Business Phone (___)_________________
Email Address _________________________ Best Time To Contact_________________
Address:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Years in the ministry:___________________Position in the ministry:________________________
Educational Experience:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Experience in Administration:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Administrator has never been dismissed from a position due to inappropriate behavior: ___Yes___No
Please provide three references for Administrator.
Tell us about your College Director:
Name:_______________________________________
Home Phone (___)______________________ Business Phone (___)_________________
Email Address _________________________ Best Time To Contact_________________
Address:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Years in the ministry:___________________Position in the ministry:________________________
Educational Experience:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Experience in Directing:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Director has never been dismissed from a position due to inappropriate behavior: ___Yes___No
Please provide two references for Director.
Tell us about your College Teachers: Please copy and paste, and complete the following for all teachers:
Name:_______________________________________
Home Phone (___)______________________ Business Phone (___)_________________
Email Address _________________________ Best Time To Contact_________________
Address:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Years in the ministry:___________________Position in the ministry:________________________
Educational Experience:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Experience in Teaching:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Teachers have never been dismissed from a position due to inappropriate behavior: ___Yes___No
Please provide two references for each teacher.
When will your semester start and end? When will your expected graduation date be? (If you aren’t sure of these at this time, then please let us know later.)
What degrees do you plan to offer?
______________________________________________________________________________
We have received a copy of the statement of faith for New Life Ministries and we are in agreement with the beliefs of NLBC&S. _______ Yes _______No
We have read Extension College Requirements Sheet, and the Extension College Handbook. We understand, and we are in agreement. _______ Yes _______No
We will do our part to train workers who are trained in the scriptures, and in obedience and yielding to God’s Spirit. We will continue to uphold the standards set by NLBC&S.
_______ Yes _______No
_________________________________________
Contact Person Signature and Title
_________________________________________
Ministry Director Signature
................
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