Please complete all the information below that applies to you.

Applicant: Full Name

Applicant: Social Security Number

Applicant: Date of Birth

Applicant: Primary Email

Applicant: Primary Mailing Address

Applicant: City

Applicant: State

Applicant: Zip Code

Applicant: Primary Telephone Number

Applicant: Gender

Applicant: Father/Guardian Name

Applicant: Mother/Guardian Name

Briefly describe your family environment.

Applicant: Current Employment

Applicant: Place of Employment

Applicant: Employed Position

Applicant: Length of Employment

Applicant: Hours Per Week

Applicant: Year Accepted Jesus

Have you been Water Baptized?

If so, when were you Water Baptized?

Have you received the baptism of the Holy Spirit?


Please provide the following information regarding your church background.

Church: Name of Church

Church: Denomination

Church: Name of Senior/Lead Pastor

Church: Mailing Address (Number, Street, City, State, Zip Code)

Church: Time Involved

Church: List of Church


Do you or have you ever used illegal drugs?

Background: Explain Drug Usage

Have you ever been convicted of a felony?

Background: Explain Felony

Is there anything in your life that might come up as a questionable issue?

Background: Explain Questionable Issue


Your essay helps the admission staff become better acquainted with you.
Please respond to both questions as you would a senior-level English class
or a college-level composition assignment. Your response should be between 750-1000 words.

Please give your personal testimony and describe your personal relationship with Jesus Christ.
What does it mean to you to be a follower of Christ?


There is a $25.00 non-refundable application fee.

Please mail the $25.00 application fee to the Daystar Church Central Office:
Daystar Church Central Office
313 2nd Avenue Southeast
Cullman, AL 35055
ATTN: Daystar College - Steve Patrick