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Launch Point-GSSM

1st year
Global School of Supernatural Ministry Application
Please type responses in the boxes provided. Box will automatically expand as you type.
INFORMATION
First Name:
Last Name:
Birth Date:
Email Address:
Phone Number:
Address:
City, State, Zip:

PERSONAL
Gender:

Male

Female

Marital Status:

Single

Married

If married, will your spouse be attending school:

Divorced

Widowed

Yes

No

If separated or divorced, please provide an explanation for each marriage and divorce.

SPIRITUAL INFORMATION
When did you accept Christ as your personal Savior?

Have you been baptized in the Holy Spirit according to Acts 1:8 and Acts 2:4?

Yes

No

If yes, how do you know you were baptized in the Spirit?

___________________________________________________________________________________________
Note: When you are done please follow the instructions on the last page.

Do you attend church regularly?

Yes

No

Are you a member?

Yes

No

How long have you been attending regularly there?


Home Church:
Pastors Name:
Church Address:
Church Phone:
City, State, Zip:

Have you recently left another church?

Yes

No

If yes, was it a good parting or are there unresolved issues?

Describe any Christian service you have done (missions, outreaches, childrens ministry, teaching, etc):

HEALTH
Please describe any physical or emotional conditions, and state any special attention, treatment, or medication
required:

EDUCATION
Did you graduate from High School?

Yes

No

or get a GED or equivalent?

Yes

No

Did you attend college/university?

Yes

No

What was your major?


Date Graduated:
___________________________________________________________________________________________
Note: When you are done please follow the instructions on the last page.

BSSM Redding Background (if applicable)


What years have you completed?
First year location
First year completion date

First

Second

Second year location


Second year completion date

If there was a gap between either the first, or second, please explain why:

FAMILY
Name of spouse, if married:
Spouses Birth Date, age:
Children (names and ages):
PARENTS (for applicants under 21 years of age)
Fathers Name:
Phone Number:
Mothers Name:
Phone Number:
EXPERIENCES
Answering YES to the following questions will NOT automatically disqualify the applicant from acceptance.
Have you used tobacco in the last six months?

Yes

No

Have you consumed alcoholic beverages in the last six months?

Yes

No

If yes, please explain:

___________________________________________________________________________________________
Note: When you are done please follow the instructions on the last page.

Have you been involved with pornography in the last 12 months?

Yes

No

If so, when was the last time, and what have you been doing to remain pure in this area?

Have you been involved in homosexuality within the last 5 years?

Yes

No

If so, when was the last time? And please explain what God has done to restore you:

Have you ever been arrested?

Yes

No

If yes, when? Please provide a brief explanation:

___________________________________________________________________________________________
Note: When you are done please follow the instructions on the last page.

Were you ever convicted?

Yes

No

If yes, when and where? Please provide a brief explanation:

Have you ever been involved in the occult, witchcraft, or cults?

Yes

No

If yes, please provide a brief explanation:

Have you used illegal drugs in the last year?

Yes

No

If yes, please explain:

Have you been sexually active in the last year?

Yes

No

___________________________________________________________________________________________
Note: When you are done please follow the instructions on the last page.

EMPLOYMENT
Occupation:
Present Employer:
Address:
Phone:

*Your employer may be contacted


FINANCES PER YEAR

Tuition is $2,000

Payment Schedule Options:

You can pay monthly $200 by signing up for autopay- First Payment due No Later then December 10th
2014.
You can pay half in December $1000 and the other half in June.
You can pay in full by December 10th, if you choose to pay in full you will receive a 10% discount of 200makin total tuiton.
You can discuss payment arrangements with our team.

READINGS
Please check any of the following books you have read:
When Heaven Invades Earth, Bill Johnson
The Supernatural Power of a Transformed Mind, Bill Johnson
Dreaming with God, Bill Johnson
Face to Face with God, Bill Johnson
Strengthen Yourself in the Lord, Bill Johnson
The Supernatural Ways of Royalty, Kris Vallotton

STATEMENT OF PURPOSE
Give a brief description of your Christian experience (how you came to know the Lord, your present walk with
the Lord) Limit statement to 600 words.
___________________________________________________________________________________________
Note: When you are done please follow the instructions on the last page.

Briefly explain why you want to attend Bethel School of Supernatural Ministry-Cleveland:

Please thoroughly explain any leadership roles/experience, including how long you were in that position.

According to Loren Cunningham there are seven strategic mountains of influence that shape the minds of the
people and culture of every nation. Which area do you feel most called to and briefly explain why.

___________________________________________________________________________________________
Note: When you are done please follow the instructions on the last page.

Home
Church
Commerce, Science, and Technology
Education
Media
Government and Politics
Performing Arts, Entertainment, and Sports

RECOMMENDTIONS
FIRST PERSONAL RECOMMENDATION (No Family or Relatives please)
Full Name:
Address:
City, State, Zip:
Email Address:

SECOND PERSONAL RECOMMENDATION (No Family or Relatives please)


Full Name:
Address:
City, State, Zip:
Email Address:

PASTORAL RECOMMENDATION
Full Name:
Address:

___________________________________________________________________________________________
Note: When you are done please follow the instructions on the last page.

City, State, Zip:


Email Address:

___________________________________________________________________________________________
Note: When you are done please follow the instructions on the last page.

PAYMENT / SUBMITAL INFORMATION


The application fee is a non-refundable $35.
After you have completed the form you can return it to us either of two ways:
1) By mail:

Fill out the application form.


Mail the completed form with your photograph and a $25 check made out to The Upper Room (with
GSSM in the memo) to the following address:
Upper Room
112 West Second St.
Cardington, Ohio 43315

2) Using our website:

Fill out the application form.


Go to http://www.upperroomcardington.com/launch-point-gssm.html, select Application
o Complete the on-line registration form
o Email the Application to GSSM@upperroomcardington.com
o Choose the option to upload your photograph and attach it to email
o Pay the $25 application fee using your credit card via our Online Giving account

Upon your acceptance, we require a $100 deposit within 30 days of receiving your acceptance letter to confirm
your decision to attend the Global School of Supernatural Ministry.

AGREEMENT
I understand that any falsification of the information on this application is grounds for dismissal at any time. I
hereby certify that I have read the policies pertaining to the ministry school, The Upper Room, I accept them,
and agree to abide by them while a student of Global School of Supernatural Ministry.
Signature:
Date:

___________________________________________________________________________________________
Note: When you are done please follow the instructions on the last page.