Student Application for Admission
StudentApplicationforAdmission PersonalInformation(PleasePrintNeatly) LegalName:___________________________________________________________________________________________________ Last First/Middle PreferredFirstName Address____________________________________________________________________________________________________________ Street City Province PostalCode Country_________________________________________________________Phone(______)__________________________________ Age______________Birthdate___________________________PresentOccupation____________________________________ Haveyoueverbeenconvictedofacrime? ________Yes________No Ifyes,pleaseexplain_________________________________________________________________________________________________ EmergencyInformation(Father/MotherorGuardian) Name Address HomePhone: WorkPhone: CellPhone: Email: RelationshipGuidelines Master’s Commission Edmonton has a no dating policy for the entire year of training. These guidelines are to protect and strengthen the students’ relationship with the Lord and to protect their integrity as disciples.PleasereadtheRelationshipGuidelinesintheStudentHandbook. 1.Areyoupresentlydatingorromanticallyinterestedinsomeone? _____Yes_____No 2.IhavereadtheRelationshipGuidelinesintheStudentHandbook. _____Yes_____NoInitial:_____ 3.Iagreetothenodatingpolicyforthedurationof Master’sCommissionEdmontonprogram: _____Yes_____NoInitial:_____ PaymentDescriptionandDueDates Fee Application Tuition#1 Tuition#2 Tuition#3 DescriptionandDueDate Theamountisdueuponsubmittingthis applicationandisnon‐refundable. Due:PriortoJuly31,2015.Thisamountisnon‐ refundableandallocatedtopurchasingthe resourcesfortheyear.Ifyouwouldprefer availabletextbooksviaAmazonKindle,please providetheemailaddressforyourAmazon account. Due:PriortoOrientation.Studentswhobringa vehicleforcarpoolpurposesmayreceiveuptoa $500.00deductionfromtheprogramfee.Please seeStudentHandbookformoredetails. Due:UponreturnfromChristmasBreak TotalTuition Cost $100 $600 $4000 $600 $5300 Pleasecontactourofficeregardingquestionsaboutpaymentplansandoptions. BringYourOwnDeviceInformation Master’s Commission Edmonton will be providing iPads to students for note taking and book reading purposes. Students who have either a tablet or laptop they would prefer to use must meet specific requirements.StudentsprovidingtheirowndevicemayreceiveacredittotheirTuition.Devicesmustbe abletoreadandeditPDFfiles,openKindlebooksandsendemails. Wouldyouliketobringyourowndevice?_____No_____YesIfyes,whattypeofdevice?___________________ DoyouhaveagshareAccount?_____No_____YesIfyes,emailaddressofaccount?___________________ VehicleInformation Doyouhaveyourdriver’slicense?_____Yes______No IfYes,whatclassoflicense?________________________ Areyouinterestedinbringingavehicleforcarpoolpurposes?_____Yes_____No Make:_________________________________________Model:____________________________________Year:____________________ NumberofWorkingSeatbelts:______________________VehicleLiability($2million)_____Yes______No Iunderstandthatifmyvehicleisnotselectedforthepurposesofcarpool,Iwillnotbereceivingthe creditfortuitioncosts.Ialsounderstandthatitwillbemyresponsibilitytokeepmyvehicleinworking orderthroughouttheyear. Initial:______________ FinancialResources Listofdebts,loans,orpaymentsthatyoupresentlyhave:_______________________________________________________ _________________________________________________________________________________________________________________________ Presenttotalindebtedness$______________________________________MonthlyPayment$__________________________ WillyourdebtsbepaidoffbythestartofMaster’sCommissionEdmonton? _____Yes _____No Willyouhavethetotalamountoftheprogram’scostsbytherequireddates? _____Yes _____No Ifno,whatisyourplantopaytheoverallcostofMaster’sCommissionEdmonton?_________________________ ________________________________________________________________________________________________________________________ PleasesignbelowthatyouhavereadandagreetothetermsoftheFinancialInformationintheStudent Handbook. SignatureofApplicant Date SignatureofParentorGuardian(ifstudentisaminor) Date AcademicBackground HighSchoolAttended_____________________________________________City_________________________Province________ GraduationDate_______________________________ordateofGEDcompletion_______________________________________ Below,pleaselistanyothercolleges,universitiesorschoolsyouhaveattended. Academic Institution Location Dates Attended Diploma/Degree Earned Health Doyouhaveanyphysicallimitation(s),learningdisability(s)orpre‐existingmedicalcondition(s)? _____Yes_____No Pleasedescribe_______________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ Areyoucurrentlytakinganymedication? _____Yes _____No Pleasedescribe_______________________________________________________________________________________________________ Haveyoueverstruggledwithorbeentreatedforamentaldisorder(anxiety,depression,bipolar,eating disorder,etc.)? ______Yes ______No (Ifso,pleaseprovidemoredetailsonaseparatesheetofpaperincludingdescriptionofdisorder,any medicationtakenandwhetheryouarecurrentlytakingthesemedications). Describeyourgeneralhealth/Doyouhaveanyallergies?_______________________________________________________ Haveyoueverusedillegaldrugs? _____Yes _____No Ifyes,dateoflastuse:______________________ Doyousmoketobacco? _____Yes _____No Ifyes,dateoflastuse:______________________ Doyoudrinkalcohol? _____Yes _____No Ifyes,dateoflastuse:______________________ ReligiousInformation HomeChurch MailingAddress Pastor______________________________________________________Phone__________________________________________________ Address WhendidyouacceptChristasyourSavior?_______________________________________________________________________ Below,pleaseindicatewhatkindsofChristianserviceyouhaveparticipatedin. Check HowLong? Check HowLong? Preaching ____ __________________________ WorshipLeading ____ ________________________ Youth ____ __________________________ VocalGroup ____ ________________________ Children’sWork ____ __________________________ Piano ____ ________________________ MissionaryWork ____ __________________________ StringedInstruments____ ________________________ Evangelism ____ __________________________ Other(Specify) Other(Specify) ____ __________________________ ____ ________________________ PleasereadtheFortRoadVictoryChurchStatementofFaithonthechurchwebsite(www.frvc.ca) andrespondtothefollowingquestions: Insofarasyouhaveformedanopinion,doyoufindyourselfingeneralagreementwithourStatementof Faith?_________________________________________________________________________________________________________________ Arethereanyareasofdisagreement?______________________Ifso,pleasestatewhich___________________________ I promise that, if accepted to Master’s Commission Edmonton, I will at all times conduct myself as a Christian,faithfullyanddiligentlyapplymyselftothestudiesrequiredbytheprogram,promptlymeetall financial and other obligations, and carefully obey the rules and regulations as set forth by Fort Road VictoryChurchleadershipandtheleadershipofMaster’sCommissionEdmonton. Signature_____________________________________________________________________________Date_________________________ PastoralReference NameofApplicant Last (tobecompletedbyyourcurrentpastor) First Middle TotheApplicant:Printyournameonthelineaboveandgivethisformtoyourpastor.Ifyour father/motherisyourpastor,pleaserefertheformtoanotherministerorleaderinyourchurch.Ifa personotherthanyourpastororassistantpastorcompletestheform,anexplanationfromyoushouldbe senttothedirectorsofMaster’sCommissionEdmonton. TothePastor:EachapplicantforadmissiontoMaster’sCommissionEdmontonmustsubmita recommendationfromhisorherpastororsubstituteasmentionedabove.Seriousconsiderationisgiven totherecommendation,and,thereforewerequestthatyoucompletetheformcarefullyandcandidly. Becauseweexpectstraightforwardcomments,wewillhandlethisrecommendationwiththestrictest confidence. Followingtobecompletedbythepastor: 1. Howlonghaveyouknowntheapplicant?______________________________________________________________ Howlonghashe/shebeeninyourchurch?____________________________________________________________ 2. Howwelldoyouknowhim/her?(checkonthefollowingscale) _____Casually–justbynameandsight _____Havehadfewpersonalcontacts _____Fairlywell–havehadanumberofpersonalcontacts _____Havehadaveryclosepastoralrelationship 3. Tothebestofyourknowledge,hastheapplicantmadeapersonalcommitmenttoJesusChrist? _____Yes____No_____Idon’tknow Comments____________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 4. Towhatextentistheapplicantengagedintheactivitiesofyourchurch(checkone): _____Isirregularinattendance–littleinterestinactivities _____Seldomparticipatesinactivities,althoughregularlyattends _____Iscooperativeandusuallywillingtohelpinthevariousactivitiesofthechurch _____Enthusiasticallyengagesintheactivitiesforhis/herage 5. InwhatformsofChristianservicehastheapplicantbeenregularlyactive(SundaySchool,Youth Group,Choir,Outreach,etc. 6. Iftheapplicantdoesnotparticipate,doyouknowwhy? 7. Incomparisonwithotheryoungpeopleyouknow,howwouldyouratethispersoninthe followingareas: Superior Above Average Average Below Average Leadership Responsibility Loyalty to Church Commitment 8. Inyouropinion,doesthisapplicantpossessanyoutstandingabilities?________________________________ Pleasedescribe:______________________________________________________________________________________________ 9. Inyourestimation,thisapplicant’sspiritualinfluenceonhis/herclassmateswillbe… (pleasecircleone) Strengthening Neutral Adverse Idon’tknow 10. Pleasecirclethetermswhichbestdescribetheapplicant’sattitudetowardthechurch: Warmhearted Devoted Enthusiastic Critical Contemptuous Apathetic Sympathetic Bitter Tolerant Respectful Rebellious Antagonistic Loving Passive Grateful Other:___________________________________________________________________________________________________________ 11. Wouldyouplacefullconfidenceinhis/herintegrity? ___________________________________________________________________________________________________ Comments:_________________________________________________________________________________________________ 12. Toyourknowledge,doestheapplicantsmoke,drink,orhavetheyabuseddrugs?_________________ 13. Aretherepersonalitytraits,whichhinderthisapplicantinhis/herrelationshipwithothers?______ ______________________________________________________________________________________________________________ 14. Pleasedescribehomefactorsofwhichyouareaware,whichmightaffecttheapplicant’ssuccessat Master’sCommissionEdmonton.Weareinterestedinthepositiveaswellasthenegativefactors. _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 15. Hastheapplicantdiscussedwithyoutheconceptofadiscipleshipprogram?_____Yes_____No DoyoufullyapproveoftheapplicantcomingtoMaster’sCommissionEdmonton?_____Yes_____No Comments____________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Signature______________________________________________Date__________________________ PrintName___________________________________________________________________________________________________________ Last First Middle Position__________________________________________________Phone(_________)_________________________________________ ChurchName_________________________________________________________________________________________________________ Address_______________________________________________________________________________________________________________ MailingInstructions Pleasemail/faxthisformto: Master’sCommissionEdmonton 13470FortRd.NW Edmonton,ABT5A1C5 Fax:(780)472‐1383 Questions?Call780‐475‐1647 ParentalorGuardianReference (tobefilledoutifthestudentis18orunder). NameofApplicant Last First Middle Instructions:ThepersonnamedaboveisapplyingforadmissiontoMaster’sCommissionEdmonton. Wesupporttheauthorityofparentsinstudents’lives,anddesireyourcooperationincompletingthis form.Allinformationwillbeheldinstrictconfidence.Yourreference,alongwithotherrequired references,willhelpusinourdecisionastowhethertoacceptthisstudent’sapplicationornot FamilyInformation 1. Mr.___________________________________________________Mrs.___________________________________________________ 2. Whatrelationshipdoesthatapplicanthavetoyou?_____Son _____Daughter _____Other Ifother,pleaseexplainrelationship________________________________________________________________________ _________________________________________________________________________________________________________________ 3. Hastheapplicantdiscussedorconsultedwithyouconcerninghis/herinterestinattending Master’sCommission?______Yes _____No 4. Hastheapplicanthadanyseriousproblemsinsubmittingtoparentalorotherauthority? _____Yes _____No Comments____________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 5. WhatdoyouunderstandtobethemotivefortheapplicantwantingtoattendMaster’s CommissionEdmonton?_____________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 6. HastheapplicantreadthroughanddiscussedwithyoutheguidelinesfortheiryearofMaster’s CommissionEdmonton?_____Yes _____No 7. Whatwashis/hergeneralattitudetotheseguidelines?_________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 8. Understandingourdesirethattherebenoconflictwithparentalauthority,wouldyoube supportiveoftheseguidelines? _____Yes _____No Comments____________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ ReligiousInformation Churchpresentlyattending_________________________________________________________________________________________ Pastor’sName___________________________________________________Phone(_______)___________________________________ Address_______________________________________________________________________________________________________________ Approval DoyoufullyapproveoftheapplicantcomingtoMaster’sCommissionEdmonton? _____Yes_____No Pleasefeelfreetoaddfurthercomments__________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ Signature___________________________________________Date_____________________________ MailingInstructions Pleasemail/faxthisformto: Master’sCommissionEdmonton 13470FortRd.NW Edmonton,ABT5A1C5 Fax:(780)472‐1383 Questions?Call780‐475‐1647 Mentor’sReference (tobefilledoutbyyouth/youngadultleader,teacher,counselor,etc.) NameofApplicant Last First Middle ThepersonalnamedaboveisapplyingforadmissiontoMaster’sCommissionEdmonton.Your cooperationincompletingthisMentor’sReferenceformwillbegreatlyappreciated.Allinformationwill beheldinstrictconfidence. Pleasecheckthefollowing: Superior Above Average Average Below Average Inferior Academic Ability Initiative/ Motivation Concern for Others Leadership Ability Social Appearance Personal Appearance Moral Standards Cooperation/ Submission Reliability Response to Correction 1. Doyoubelievetheapplicantisaborn‐againChristian?_____________Whatevidencehaveyouseen inhis/herdailylife?_________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 2. InwhatformofChristianworkhastheapplicantengaged,andwithwhatsuccess?Giveafull statementaspossible. _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 3. Commentonthefamilyandsocialbackgroundoftheapplicant. _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 4. Toyourknowledgedoestheapplicantparticipateinanyofthefollowing? _____DrugUsage _____Smoking _____Drinking _____N/A 5. Haveyouhadanyoccasiontoquestionhis/hermoralcharacter?_____________________________________ 6. Whatisthegeneralphysicalconditionofapplicant?_____________________________________________________ 7. Doeshe/shehaveanymentalorphysicaldisabilities?___________________________________________________ 8. Toyourknowledge,istheapplicantpromptinpayingdebts?___________________________________________ 9. Doestheapplicant,inyourjudgment,displayfitnessandaptitudeforadiscipleshipprogram? _________________________________________________________________________________________________________________ 10. Inyouropinion,istheapplicantemotionallystable?_____________________________________________________ 11. Wouldyouunhesitatinglyrecommendtheapplicant’sacceptancetoMaster’sCommission Edmonton? ______Yes _____No Comments____________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ 12. Theseobservationsarebasedonanacquaintanceoveraperiodof__________________years. Comments____________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Signature___________________________________________Date_____________________________ PrintName___________________________________________________________________________________________________________ Address_______________________________________________________________________________________________________________ Phone(_________)_________________________________________ MailingInstructions Pleasemail/faxthisformto: Master’sCommissionEdmonton 13470FortRd.NW,Edmonton,ABT5A1C5 fax:(780)472‐1383 Questions?Call780‐475‐1647 BiographicalStatement(tobecompletedbyapplicant) Instructions:Pleasewriteashorttestimonystatementtoincludethefollowing information: [A]SalvationExperience[B]WaterBaptism[C]BaptismoftheHolySpirit[D]GoalsandDesiresforthe Future[E]WhyyouwishtoattendMaster’sCommissionEdmonton (minimumof250,maximumof500words‐pleaseusethespaceprovidedbelowortypeonaseparate pieceofpaper) NameofApplicant______________________________________________Date________________ Last First Middle _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ *Ifadditionalspaceisneededforanswers,pleaseuseanothersheetofpaper. FundraisingPolicy The$5300.00tuitioncoversaportionofthecostoftheentireyearperstudent.Master’sCommission Edmontonhascommittedtoraisetheremainderofthebudgetthroughfund‐raising.Staffandstudents arerequiredtobeinvolvedinthefundraisingeventsthroughouttheyear. DisputeResolutionandDismissalPolicy Master’sCommissionEdmontonStaffiscommittedtoresolvingalldisputesthatmayarisewithinour studentbodyorstudentsandhouseparentsinaBiblicalmanner.ThiscommitmentisbasedonGod’s commandthatChristiansshouldstriveearnestlytoliveatpeacewithoneanother(Matthew5:9and Romans12:18).Wewillalwaysseekresolutionwiththestudentsinallmatters,andconsultationwith students,staff,parents,andhouseparentswillalwaysbeourfirstandutmostpriority. IntheeventthatastudentfailstohonourtheircommitmenttotheStudentHandbook,actionwillbe takenaccordingtotheBiblicalprinciplesoutlinesinMatthew18:15‐17.Ourfirststepwillbetoaddress thestudentandtheiractiononeonone.Ifatthispointthestudentdoesnotshowsignsofarepentant heart,Master’sCommissionEdmontonleadershipandFortRoadVictoryChurchleadershipwilladdress thestudent’sattitudeandactions.Ifallthesestepshavebeentakenandthestudentisstillunresponsive tothecorrectionofMaster’sCommissionEdmontonandFortRoadVictoryChurchleadership,asalast resort,dismissalmayresult.Wewill,however,giveeveryopportunityforthestudenttoremaininthe program.Theoptionofaprobationperiodmayalsohelptoresolveindifferences.Ourcommitmentisto Biblicallyresolveanyproblemsthatmayarise. SignatureofApplicant SignatureofParentorGuardian(ifstudentisaminor) Date Date AuthorizationforTreatmentofaMinor DearHealthCareprovider: IfIamunabletobereachedtoprovideconsentformedicalcare,I,theundersignedparentorlegal guardianof __________________________________________________________________________________________________________________, aminor,authorizethehouseparentsdesignedbyMaster’sCommissionEdmontonortheleadershipof Master’sCommissionEdmontontoconsentinanyemergencysituationtoanymedicalorsurgical procedureorhospitalcarerequiredfortheaboveminor.Hospitalcaremayincludeanylaboratorytests, X‐rayexaminationsandanestheticrequired.Allmedicalcaremustbeacknowledgedasnecessarybyand performedunderthesupervisionofaphysicianlicensedtopracticemedicineintheprovinceornationin whichthestudentlivesortowhichthestudenthastraveled. Inmyabsence,mychildmaybereleasedtothehouseparentsorleadersdesignedbyMaster’s CommissionEdmontonfollowingcompletionoftreatment. SignatureofParentorGuardian Date Date SignatureofApplicant
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