Person Completing Application
First Name
Last Name
Title
Email
Cell Phone Number
Church Name
Telephone
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
If you are not the pastor, have you discussed this application with the pastor?
*
Candidate's Name
First Name
Last Name
Email
Cell Number
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Telephone Number
(###)
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
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Last 4 Digits of Social Security Number
Lives with:
Church Liaison's Name
Email
Cell Phone
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Telephone Number
(###)
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1. Have you reviewed the Ascending Lights website (www.ascendinglights.org) and watched the video found there?
2. How well do you know this candidate?
3. How well do you know this candidate’s immediate family? How would you describe the family’s ability to provide a supportive environment for the candidate’s college studies?
4. Describe the type(s) and extent of Christian service that the candidate is presently performing in your church. Include how long he/she has been involved in each ministry.
5. Tell us why you would trust this candidate with leadership responsibility in your church now or in the future.
1. Completes assigned schoolwork on time.
Please explain:
2. Attends every class session.
Please Explain:
3. Addresses concerns and asks questions of instructors as necessary.
Please explain:
4. Meets with each instructor at least once each month.
Please explain:
5. Asks for help when needed.
Please explain:
6. Sets goals to motivate themselves.
Please explain:
7. Plans at least two hours of study for each unit of coursework.
Please explain:
8. Completes any extra credit offered by the instructor each week.
Please explain:
1. Participates in spiritual formation opportunities, such as:
a. Meets regularly with a qualified spiritual director.
b. Regularly spends time in reflection and journaling.
c. Regularly participates in a small group Bible study.
d. Regularly participates in retreats and Quiet Days.
Please explain:
2. Spends time in prayer and Bible reading each day.
Please explain:
3. Participates in agreed upon Christian service.
Please explain:
4. Participates in worship in a Christian community at least once each week.
Please explain:
5. Seeks discernment and direction from God.
Please explain:
1. Has some successful employment experience.
Please explain:
2. Returns telephone calls and Emails within 24 hours.
Please explain:
3. Sets goals and accomplishes them.
Please explain:
4. Addresses any behavioral dependencies.
Please explain:
5. Arrives on time prepared to work.
Please explain:
6. Communicates their needs and desires effectively to family members, supervisors, and mentors.
Please explain:
7. Develops healthy boundaries and limits with family members, friends, church members, and co-workers.
Please explain:
8. Follows through on commitments.
Please explain:
9. Sets and implements personal priorities.
Please explain:
10. Asks for help when needed.
Please explain:
11. Manages their physical and medical needs.
12. How motivated do you believe the student is to go to college at this time?
1. Participates as a leader in at least one group.
Please explain:
2. Inspires confidence from others.
Please explain:
3. Maintains a balanced perspective.
Please explain:
7. What, if any, circumstances in this candidate’s life might potentially interfere with his or her successfully completing community college and the Ascending Lights program?
8.. Overall, how would you rate the likelihood that this candidate will successfully complete community college and the Ascending Lights program?
9. Is this candidate a U.S. Citizen, Permanent Resident, or DACA recipient?
(Please attach a copy or photo of the candidate’s birth certificate or passport, Green Card, or valid DACA Form I797.
10. Has this candidate successfully completed high school?
IF YES: (Please attach a copy or photo of the candidate’s unofficial high school transcript, AND unofficial community college transcript if they are already attending community college.) IF NO: Please indicate when you expect the candidate to graduate (Please attach a copy of the candidate’s unofficial high school transcript to date.)
Has the candidate submitted a FAFSA (Free Application for Federal Student Aid) or CADAA (California Dream Act Application) in the last 12 months?
Completion of a FAFSA or CADAA is required in order to begin receiving Ascending Lights benefits.
13. Does this candidate have approximately two years of community college studies ahead before he/she earns a degree or certificate and is able to graduate by the summer of 2025?
14. Is this candidate presently employed at the church for more than 20 hours a week, OR a relative of a present or former student, OR of a church employee who is working at the church more than 20 hours per week?
SIGNED (Pastor or Church Minister)
First Name
Last Name
Date
MM
DD
YYYY
* ADDITIONAL DOCUMENTS REQUIRED
This application cannot be processed without copies or photos of the candidate’s birth certificate, passport (or Green Card), high school diploma (or transcript or unofficial community college transcript), and a copy of the FRONT PAGE ONLY of the candidate’s and/or family’s most recent income tax return.
