Student Data Sheet

The Brethren Academy for Ministerial Leadership is an umbrella under which are offered a variety of certificate and continuing education programs for training pastors and lay leaders. Academy Certified Training Systems (ACTS) programs are intended for lay people who want to learn more about the faith and calling of Christian community; licensed ministers who are part of the three or four year training program to fulfill educational requirements for ordination; and ministers seeking continuing education.

Applicant’s Name_________________________________________________________

Last First Middle

Address_________________________________________________________________

Street & Number City State Zip

Telephone Number Home ______________________ Work___________________

Email Address_____________________________________

Congregation__________________________________ District__________________

Denomination: *Church of the Brethren *Other________________________

I am seeking to strengthen my ministry of: *Teaching *Small group leadership

*Faith Sharing *Preaching *Church administration *Personal growth

I am: *Laity *Deacon *Licensed (Date of licensing________) *Ordained

I need the following credit for courses: *Academy *TRIM *EFSM

*CEU *None

(Please turn page)

Signature of Applicant Date

Students entering the program with the intention of exploring ministry training are required to write an essay of approximately 300 words describing your calling. The purpose of this essay is to give a sample of writing skills and a baseline of where you are in your calling. Please write the essay on another sheet and attach it or use this page.