Application for Admission –
Certificate Program in Prayer Leadership
Admissions Checklist
Completed application form
Personal Statement of Faith
$25 application fee
Application Instructions
ALL Applicants
*must complete and submit the application form by mail to: Athens School of Ministry & Worship Arts PO Box 7953
Athens, GA 30604
*submit $25 application fee (non-refundable) by check payable to: Athens School of Ministry & Worship Arts. (Do not mail cash.)
*must submit personal statement of faith.
*must submit all application components by the deadline for semester applying:
Fall – July 15 Spring – December 15 Summer -- April 15
Applicant Information: PLEASE PRINT Student Name
Last Name: ____________________________ Previous Last Name: ____________________________ First Name: ___________________________ Middle Name: _________________________________
Mailing Information
Street: ________________________________ Apt, Lot, Unit or Suite #: _________________________ City: __________________________________ State: ________________ Zip Code: _______________
Permanent Home Address (if different from mailing address)
Street: ________________________________ Apt, Lot, Unit or Suite #: _________________________ City: __________________________________ State: ________________ Zip Code: _______________
Your Contact Information
Cell Phone: ____________________________ Home Phone: _________________________________ Work Phone: ___________________________ Email: _______________________________________
Emergency Contact Information
Full Name: _____________________________ Relationship: _________________________________ Cell Phone: ___________________________ Other Phone: ________________________________
Biographical Information Social Security Number: ____________________________
Birth Date (dd/mm/yyyy): _______________________________ Country of Birth: ____________________________________ Gender: male female
Citizenship information: (Check one)
U.S. citizen by birth or Naturalization
Non-resident alien* or permanent resident* (Must present Resident Alien Card to Admissions for verification. Copy will not be accepted.)
*If non-resident alien or permanent resident, what is your country of citizenship? ____________________
*If you currently reside in the U. S. but are not a U. S. citizen or permanent resident, what is your current Immigration status?____________________________________________________________________________ How long have you lived in the USA? Year(s): ____ Month(s): _____
What is your native spoken language? _________________________ Application Information
During which semester do you plan to enroll in the Certificate Program for Prayer Leadership at the Athens School of Ministry & Worship Arts?
Fall Spring Summer Year: 20______
Criminal and Academic Misconduct Information
Athens School of Ministry & Worship Arts is committed to maintaining a safe environment for all members of our community. All applicants must answer these questions. Your application will not be processed without these responses. An affirmative answer to any of these questions does not automatically bar admission to the institution, but does require review. You are required to provide an explanation for each instance you answer “Yes.”
Have you ever been convicted of a crime other than a minor traffic violation? Yes No If yes, explain:
____________________________________________________________________________________ Are there any criminal charges currently pending against you? Yes No
If yes, explain:
____________________________________________________________________________________ Do you currently have disciplinary or academic misconduct charges pending against you from a high school, college, or university? Yes No
If yes, explain:
____________________________________________________________________________________ Have you ever been disciplined, suspended, or expelled for conduct code violations from a high school or a postsecondary educational institution? Yes No
If yes, explain:
____________________________________________________________________________________ Applicant’s Signature
“I certify that, to the best of my knowledge, the information submitted on this application is true and complete.” Applicant’s Signature: ____________________________________ Date: ________________________
If you have any questions about completing this application, please contact: asmwainfo@asmwa.org or call 706- 461-3179.
Please submit completed application form, personal statement of faith, and application fee to: Athens School of Ministry & Worship Arts
PO Box 7953, Athens, GA 30604
Personal Statement of Faith
Student’s Full Name: ____________________________________ SSN: ___________________________
Name of home church: __________________________________________________________________
City: ________________________ State: ________ Phone Number:_____________________________
Pastor’s Name: __________________________________ Years attended there: ___________________
Christian Service Activity
List most recent Christian service activities. May attach additional pages as desired.
Description of Activity:___________________________________________________________________________ Your role: __________________________________City:_______________________________ State: ___________ Activity Leader’s Name: _________________________ Phone Number: _______________________
Activity Duration From (mm/yyyy): ________________ To (mm/yyyy): __________________________
Description of Activity:___________________________________________________________________________ Your role: __________________________________City:_______________________________ State: ___________ Activity Leader’s Name: _________________________ Phone Number: _______________________
Activity Duration From (mm/yyyy): ________________ To (mm/yyyy): __________________________
Description of Activity:___________________________________________________________________________ Your role: __________________________________City:_______________________________ State: ___________ Activity Leader’s Name: _________________________ Phone Number: _______________________
Activity Duration From (mm/yyyy): ________________ To (mm/yyyy): __________________________
Personal Statement of Faith
On a separate page, please describe your personal story of faith including the following information:
How and when you accepted Christ as your personal Savior
Why you wish to enroll in the Prayer Leadership Certificate Program at the Athens School of Ministry &
Worship Arts How you expect to use what you will learn through the Prayer Leadership Certificate Program
Athens School of Ministry & Worship Arts Belief Statement
We believe in:
The eternal existence of one infinite triune God—God the Father, God the Son, and God
the Holy Spirit.
The infallibility and authority of the inspired Word of God as contained within the
canonized Holy Bible.
The deity, virgin birth, sinless life, vicarious atonement, physical resurrection, and the
glorious visible return of our Lord Jesus Christ.
The goodness of God, His love for all people, His desire to save, restore, and have a
relationship with all who come to Him through faith in Jesus Christ.
The sinful nature of all people, the coming wrath of God, and the necessity of salvation
through the Jesus Christ alone.
The necessity of salvation through the atoning blood of the Redeemer at Calvary.
Anyone can receive salvation and come into fellowship with God through repenting,
believing, and receiving Jesus Christ as their Savior and Lord.
The physical resurrection of all people-those in Christ to everlasting joy in heaven and
those not in Christ to everlasting conscious torment in hell.
The regenerating, sanctifying, and empowering ministry of the Holy Spirit, producing the
fruit of a transformed life and imparting spiritual gifts for effective ministry.
The commission to the church to spread the Gospel throughout the world while
awaiting the return of our Lord and Savior, Jesus Christ.
“I have read the Athens School of Ministry & Worship Arts Belief Statement, agree with it, and agree to uphold it through my coursework and Prayer Ministry apprenticeship experiences, to the best of my ability.”
Applicant’s Signature: ____________________________________ Date: ________________________
Please enclose this completed, signed form and your Personal Statement of Faith Essay with your complete application package and mail to:
Athens School of Ministry & Worship Arts PO Box 7953
Athens, GA 30604
