24/7 Discipleship Training Program Application

Print this page, scan your application and send it to:

ChristsCreekMission@gmail.com


Or mail your application to:

Evangelists Larry and Ana Walters

2490 Winding Hills Drive

Columbus, Ohio 43224-3020

 

Full Name:                    _____________________________________________

                                    (Last)                           (First)                           (Middle)

 

Physical Address:         ______________________________________________

                                    (Street Address)                                   (PO BOX)

 

                                    ______________________________________________

                                    (Additional Address Information)

 

                                    ______________________________________________

                                    (City)                                       (State)              (Zip Code)

 

                                    ______________________________________________

                                    (Country)                                


Contact Phone: _______________________________________________

                                    (Mobile)                                   (Home)

                                               

E-Mail:                 _______________________________________________             

 

Are you a member of any social media network such as Twitter, Facebook, etc…?

 

If yes then list:    _______________________________________________

 

Tell us about your salvation and present walk with Messiah Yeshua below.

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(Attach a separate page if necessary)

 

Personal References: Names, Contact Phone Numbers and Email Addresses if Available.


                                    1________________________________________________

 

                                    2________________________________________________

 

                                    3________________________________________________

 

Spiritual References: Names, Contact Phone Numbers and Email Addresses if Available.


                                    1________________________________________________

 

                                    2________________________________________________

 

                                    3_______________________________________________

 

____ By checking here you state that you have read our Statement of Faith online and

         Will strive to represent our Messiah Yeshua in love and respect if selected as a

         Candidate for the 24/7 Discipleship Training Program.

____ By checking here you understand that scholarships are available that will help

         Offset basic living expenses while I am involved with the DTP if qualified.

____ By checking here you understand that this program in no way constitutes an offer of

         Of employment or ministry position with CCM. If you are selected and graduate

         From the DTP you will be qualified to establish home fellowships worldwide.

____ By checking here you also understand that at anytime at the discretion of the staff

         At CCM you can be placed on probation or withdrawn from the DTP. 

____ By checking here you understand that all insurance requirements during your

         Tenure with us is your personal responsibility and that we assume no medical

         Liability or personal responsibility for you or your property.

____ By checking here you understand that if you do not qualify for 100% of your basic

         Living expenses that you will be contacted with regard to tuition and fees required

         In order to host you in our home(s). All application fees are non-refundable. Tuition

         Fees and fees associated with room and board are based on an individual basis.

____ By checking here you understand that all passport, visa, and initial transportation to

         And from our DTP is your responsibility. Through various fundraising events all

        Other transportation and missions outreach will be generated as needed and require

        Full participation in order to remain apart of the DTP.

       [please initial and check all lines above]


        ______________________________                ______________________________

            (Printed Full Name and date)                           (Signature)

  

     _______________________________               ______________________________

            (Witness Name, Date, Signature)                      (Witness Name, Date, Signature)

[By signing as a witness for the above person, you are testifying to their moral character,

spiritual maturity and personal responsibility. If you are still living at home, at least 1 witness

should be from a parent. And 1 witness should be from your list of Spiritual References.

Thank you.]

Application fees: 

Please go to "Becoming a Monthly Supporter" and make a 1-time $50 donation. 

 

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