Covenant Bible College & Seminary

Covenant Bible College & Theological Seminary

Portfolio Assessment Application (LEAP - LEAD)

There is a one-time Portfolio Assessment fee in the amount of $250.00 due and payable upon submission of this application. Please be sure to submit accurate information. Be sure to list complete names, addresses, phone numbers and email addresses of all learning institutions (schools, colleges, universities, etc.). If necessary, please contact the Administrative Office and request the printable version of the Life Experience Portfolio Assessment Application.

Subject: *
Full Name of Applicant: *
E-mail Address: *
Last 4 of SSN: *
Date of Birth: *
Age: *
Sex: *
Marital Status: *
Address 1: *
Address 2:
City, State, Zip Code: *
Country: *
Current Ministerial Status: *
Current Church/Ministry: include address and phone number *
Please check all that apply: *	I am currently a Pastor. I am actively involved in Church planting. I have been awarded Honorary Degree(s) I have written and published book(s) - please forward copies for review I am active in the Mission feild. I have/am facilitating training couses. I have/am teaching sermon series - please forward copies for review
Are you a High School Graduate? *
List all schools, colleges/universities attended: include address and phone number of each institution *
Copy and paste your (Word.doc) Ministerial/Professional Resume: *
Do you have military experience? *
Branch of service?	Army Navy Air Force Marines Coast Guard
How many years of active duty?
How many years of Reserve (Inactive) duty?
How many years of Full Time Ministry? *
Have you been on any Missionary journeys? *
List all books you have actually read (not the ones sitting on the bookshelf), but the ones you have actually read, studied and comprehended: give title, author, publisher and ISBN number for each book *
What level of degree are you applying for through this application? *	Bachelors Masters Doctorate Bachelors/Masters Masters/Doctorate Masters/PhD
*FOR LEAD STUDENTS ONLY: What degree concentration do you desire if approved?	Divinity Ministry Religious Education
In your own words, tell us your purpose in pursuing credit through Life Experience Portfolio Assessment: *
I understand that color photocopies of all licenses, certificates, diplomas and degrees previously earned must be submitted within 14 business days, or this application will be automatically cancelled. *
Give the names, addresses, email adresses and phone numbers of three character references: *
I agree to the terms and conditions of the Life Experience Portfolio Assessment and agree to submit the one-time, non-refundable application/assessment fee of $250.00. *
Signature: this constitutes your legal signature *


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