Online Application | Lighthouse Theologic

APPLY FOR ENROLLMENT TO LIGHTHOUSE

Enrollment Application

Application Requirements

· Complete application/ with valid identification card and social security number

· $25.00 non-refundable application fee

Full Time

Part Time

Part Time (Non Degree)

Semester Applying For:

Academic Intent

Major

Personal Information

Full Name:

Street Address

Mailing Address

City

Postal / Zip code

Region/State/Province

Date of Birth

Contact Number

EDUCATION

High School Information

HIGH SCHOOL NAME

Street Address

City

Postal / Zip code

Region/State/Province

College Information

COLLEGE NAME

Street Address

City

Postal / Zip code

Region/State/Province

Degree Earned:

FINANCIAL INFORMATION

What is your tuition payment option for Lighthouse:

Full Scholarship Recipent

Partial Scholarship Recipient

PAYMENT PLAN:

Full Payment

Monthly Payments

SPIRITUAL & COMMUNITY INFORMATION

What is your primary reason for attending school at the Lighthouse Institute ?

What is your current position within your church/ministry, if any:

Are you a licensed or ordained member of clergy or ministry leader? If Yes, what office?:

Are you an active member of your community? If Yes, please describe how you're involved:

Application Agreement

I certify that the information provided on this application is complete and accurate to the best of my knowledge, and that the Lighthouse Theological Institute and Seminary is authorized to make whatever inquiries are necessary to certify the accuracy of my records. Further, I consent to the use of reference letters and reference checks in evaluating my application. If accepted as a student at the Lighthouse Theological Institute and Seminary, and in consideration thereof, I will submit cheerfully all the regulations and policies of the college and seek maintain a high standard of Christian integrity and conduct.

I agree to the terms & conditions

Signature (Please type your full name)