Ellerslie Discipleship Training
Online Application

General Information

First Name *

Last Name *

Email Address *

Please re-type email address. *

Street Address 1 *

Street Address 2

City *

Zip Code *

State/Province *

Country *

Home Phone Number *

Work Phone Number *

Mobile Phone Number *

Gender *

Birth Date (mm/dd/year) *

Age: *

marital status? *

Education Level? *

Junior/Senior High School

College

Masters

Doctorate

Please select the one that best fits your situation *

I'm a United States Citizen

I currently possess a US Visa

Other

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Phone Number *

Will a spouse/family member be attending with you, as a fellow student?

Yes

No

Attending family member's name

Relationship

NOTE: if attending with a spouse or a family member, please submit a separate application for each person interested in the Ellerslie Discipleship Training

Special Discount: for students with an additional family member attending in the same semester, there is a discount of $200 per person – for either on or off campus applicants.

Program Information

Please select from one of the following Ellerslie Discipleship Training Programs

Please note: the following dates are for the 12 week semester in Windsor, Colorado – the additional 8 weeks of intensive follow-up discipleship training takes place once you return "home."

Fall 2016 - Summer 2017 Discipleship Training Courses

Winter/Spring 2017 Discipleship Training (February 4 - April 30, 2017 + 8-week follow-up)

Summer 2017 Discipleship Training (June 3 - Aug. 27, 2017 + 8-week follow-up)

Please select the type of registration that fits your situation *

On-Campus - $4,850 (includes most meals and lodging)

On-Campus with family member(s)** - $4,650 (includes most meals and lodging)

Off-Campus - $2,650 (includes lunch M-F)

Off-Campus with spouse or family member(s) attending** - $2,450 (includes lunch M-F)

IMPORTANT NOTES

**Special Discount: for students with an additional family member attending in the same semester, there is a discount of $200 per person—for either on or off campus applicants.

On-Campus Meals: We do not provide dinner on Saturday or Sunday. These meals are the responsibility of the student.

Extra Expenses: There are a few additional expenses students are responsible for (such as books for required reading, session notebook, etc). A detailed list can be found on the Discipleship Training information page at Ellerslie.com/training – see "more pricing information."

Tuition Deposits:

Please note we only accept personal checks, cashier's checks, or money orders for tuition payments. We apologize for any inconvenience.

On-Campus students are required to pay a $1,000 deposit, divided into 2 installments, in order to secure their spot in the program. The first half of the deposit ($500) is required within 60 days from the date of acceptance, and the second half ($500) is due 90 days from the date of acceptance. Please note: this deposit is non-refundable. The remaining tuition balance is due on the 1st of the month, approximately 2 months prior to the start date of the semester program. If you register for a semester program within two months or less of the start-date, the entire registration fee will be required upon receiving your Letter of Acceptance in order to secure your spot in the program.

Off-Campus students are required to pay a one-time deposit payment of $500, due within 60 days from acceptance date. Please note: this deposit is non-refundable. The remaining tuition balance is due on the 1st of the month, approximately 2 months prior to the start date of the semester program. If you register for Ellerslie Discipleship Training within two months or less of the start-date, the entire registration fee will be required upon receiving your Letter of Acceptance in order to secure your spot in the program.

Personal Questions

Please describe when and how you came to know Jesus Christ as your Lord and Savior *

Why do you desire to be a part of Ellerslie Discipleship Training? How do you hope to benefit from this experience? *

Describe the most significant spiritual event in your life

*

Describe the hardest thing you've gone through in your life and how that has affected you spiritually

*

Is your spiritual life currently withered, compromised, or lacking in any way? If so, please explain.
*

Is there anything in your life that could be a distraction to you from giving your full effort and focus in the Discipleship Training program?
(i.e.: relationships, an upcoming wedding, a recent death of a friend or family member, etc.) *

Please write a statement about what the Bible means to you and the position it currently holds in your life. *

If you are married, is your spouse in agreement with your desire to attend this program? *

Yes

No

It's complicated

Not applicable

If you are college-age or younger, are your parents in agreement with your desire to attend this program?
*

Yes

No

It's complicated

Not applicable

Are you in good health? Please explain if necessary. *

Do you have any specific health/medical needs we should know about? If so, please describe: *

List any medications you are currently taking.

Reference Information

Provide three references below.

#1 Pastoral Reference information

Pastor's Name *

Pastor's Phone Number *

Pastor's Email Address *

NOTE: This may also be someone who is in some form of Christian ministerial leadership.

#2 Employer Reference information

Employer's Name *

Employer's Phone Number *

Employer's Email Address *

NOTE: This may also be a teacher, or someone of management level who has known you in a work-related environment.

#3 Family/Friend Reference information

Name *

Phone Number *

Email Address *

NOTE: This may also be a teacher, or someone of management level who has known you in a work-related environment.

Code of Conduct

At Ellerslie Discipleship Training, we are committed to modeling a healthy, morally excellent, God honoring daily decorum. We encourage and foster an atmosphere of love, honor and respect among both staff and students. Please review the following core values to better understand the atmosphere you will be coming into. At the bottom of this page, please check the box provided as a means of agreeing to help us maintain these values during your time at Ellerslie.

The Ellerslie staff and students will be expected to uphold the following principles of honor and Biblical morality while participating in all aspects of the training program and campus-life:

- Deliberately seeking to honor God in conduct and daily life through dress, language, attitude, and interactions with others. Also, not participating in any morally questionable behavior or action.

- Approaching the training process with an attitude of expectancy. Diligently participating in all of the required course-work and study, and showing Godly respect to the leadership, staff, and other students.

- Willingly participating in a "set-apart season" of focusing on Christ and building Godly character, with healthy boundaries around potentially distracting secular activities such as social media, pop-culture entertainment, television, unrestricted internet, etc.

- Treating members of the opposite sex with honor and respect, and living according to God's pattern for sexual purity.

- Cultivating a servant's heart and a cheerful willingness to participate in outreach projects, campus work projects, and other forms of sacrificial Christian service.

*

I have read the above "Code of Conduct" and intend to live according to these principles during my time at Ellerslie Discipleship Training. I understand that during my time at the Ellerslie campus, if I am consistently characterized by behavior opposite of the values described above, I may be asked to leave the program early.

Additional Comments

Please provide us with any other information that you feel would be important for us to know in considering your application.

Note: Once we have received your application, application fee, and a response from your references, one of our staff members will then contact you to set up an interview.