24/7 Discipleship Training Program Application
Print this page, scan your application and send it to:
Or mail your application to:
Evangelists Larry and Ana Walters
Columbus,
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________________________________________________
Professional References: Business Name, Account Information, Phone number
1________________________________________________
(Bank Account used for the ministry. Attach bank statements for the past 3 months)
2________________________________________________
(Rental Information: Landlord, Amount of Rent(s) contact info are you current or behind (amount?))
3________________________________________________
(Tithing Records for the past year)
Spiritual References: Names, Contact Phone Numbers and Email Address.
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 sing up for a monthly donation amount.