PERSONAL INFORMATION

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?




CHURCH BACKGROUND INFORMATION

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




BACKGROUND


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




ESSAY QUESTION

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?




APPLICATION FEE

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