CHRISTIAN LEADERSHIP UNIVERSITY

SCHOOL OF IMPARTATION

Port Saint Lucie, Florida, USA

Phone: 716-681-4896 | Fax: 716-685-3908

Email: africa.cyprien@yahoo.fr | clu@cluonline.com

Preparing Anointed Leaders Discipling the Nations

Logos – Rhema “Rom. 10:17

New Student Enrollment Form

Personal Information

Name:
Date of Birth:
Home Address:
City:
State:
Home Phone:
Email Address:
Current Employer:
Employer's Address:
How did you hear about Christian Leadership School of Impartation (CLSOI)?
Enter name of person who referred you, or if you selected “other” please explain:

Educational Information

High School Name/Location:
Year of Graduation:

List all other educational institutions attended beyond high school, if applicable (e.g., college, university, nursing or business school):

Institution Name/Location Dates Attended Major or Degree Earned Year of Graduation

Financial Information

How do you intend to pay your Bible School expenses?

Academic Program Options

Choose among the options below:

  • Certificate
  • Diploma
  • Associate’s Degree
  • Bachelors Degree

N/B: Please contact all educational institutions you have previously attended and have them send transcripts to us from courses whose credits you wish to transfer to CLSOI.

Certification

I certify that the information supplied on this application is complete and correct to the best of my knowledge.

THE STUDENT MAY CANCEL HIS CONTRACT WITHIN FIVE DAYS FOR A FULL REFUND.

Acknowledgement

I, , understand that a degree from Christian Leadership School of Impartation does not guarantee a job or ordination in any specific market or ministry, and is not specifically designed to meet any particular licensing requirements.

Although the World wide Accreditation Commission of Christian Educational Institutions accredits this degree, CLSOI is not listed with the U.S. Department of Education, and a CLSOI degree is specifically not suited for people pursuing jobs as public school teachers, state university professors, state-licensed psychologists, amongst other vocations, and that some states may have restrictions on ways this degree can be utilized in the marketplace.

The primary purposes of this degree are to help strengthen my walk with God, and to help in equipping me for Christian ministry, specifically to become a Spirit-anointed leader.

Although Christian Leadership School of Impartation may help in pointing me to job location services, I am the one responsible to locate any job in my future. I understand it is wise and prudent for me to check with those who are working in the field(s) I desire to work in when I graduate in order to ensure that the path I am on will be acceptable for the specific kind of job or ministry I am pursuing.

I am fully aware that this is a Christian ministry, which believes the Bible is the Word of God and that the Bible is the authority upon which my spiritual growth and training will be based.

I declare that I am enrolling in Christian Leadership School of Impartation willingly and of my own free will. I understand that during these courses I will be confronting my inner feelings and emotions, which could cause emotional pain as I press on in spiritual growth.

Release

I, , in consideration of the training to be provided, and being of age of majority, do hereby release Christian Leadership School of Impartation, its instructors, professors, directors, officers, and representatives from any and all claims, causes of actions, suits and actions arising out of or in any way connected with the training provided by Christian Leadership School of Impartation.

I have read the Acknowledgment & Release carefully and have had the opportunity to seek counsel in advance of signing this form.

YOUR SIGNATURE MUST BE WITNESSED, INCLUDING NAME & ADDRESS NOT A FAMILY MEMBER, OR INSTRUCTOR OR STAFF