STEP Application

Date*
MM slash DD slash YYYY
Personal Information
Name*
First Middle Last
Preferred Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Business Phone*
Cell Phone*
Email*
Birth Date*
MM slash DD slash YYYY
Marital Status*
Spouse’s Name*
Church Information
Church Affiliation
Denomination*
Conference*
District*
Congregation*
Pastor*
Church Affiliation*
Denomination Conference District Congregation Pastor
Educational Information
High school last attended
This field is hidden when viewing the form
- I have a GED diploma
Graduation year
City
State
List all educational training since high school graduation.
College Date last attended
College Date last attended
Provide either a High School or a College official transcript directly to LMC, Attn: STEP Program, LMC Office, P.O. Box 1635, Lancaster, PA 17608-1635, or send an electronic copy to STEP@lancasterconference.org. If you did not attend college, please ask your high school to send an official transcript for your high school work.
Other Date last attended

Provide either a High School or a College official transcript directly to LMC, Attn: STEP Program, LMC Office, P.O. Box 1635, Lancaster, PA 17608-1635, or send an electronic copy to STEP@lancasterconference.org. If you did not attend college, please ask your high school to send an official transcript for your high school work.
Learning Disability
In an effort to support and encourage various learning styles, please indicate if you have ever been diagnosed with any type of learning disability. If so, what was the disability? What has been helpful to you in managing that disability? What is your preferred learning style? (ex. visual, reading/writing, kinesthetic, auditory).
Letter of Recommendation
Please ask your bishop or supervising pastor to write a letter of recommendation that expresses the support of your congregation for your enrollment in STEP. This letter should be returned to you in a sealed envelope and/or submitted to LMC as an attachment to an email at STEP@lancasterconference.org.
Bishop / Supervising Pastor*
Name of your Bishop / Supervising Pastor Title and Role
Ministry Position
Please describe your ministry situation. If you are not the pastor, submit a description of your ministry role.
Congregation
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Titles/Duties
Employed (check one)
- Full-Time
- Part-Time
- Volunteer
Average hours per week
Supervisor Information
Name Phone
Other Employment
If bivocational, please describe your other work situation. Otherwise, please describe your most recent previous work situation.
Employer
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Titles/Duties
Employed (check one)
- Full-Time
- Part-Time
Average hours per week
Supervisor Information
Name Phone
Essay/Statement
Max. file size: 128 MB.
Please attach a 1 or 2-page, double-spaced, typewritten statement that answers the following questions: Why do you want to enroll in the STEP Certificate Program? What impact do you think the completion of this program will have on your ministry? What challenges will you face as you begin this training program?
Signature*
Signature Date
With my signature, I make application to LMC and to the STEP ministry Certificate Program with the proviso that the above information is accurate and truthful.

Denomination	Conference	District	Congregation	Pastor

College	Date last attended

College	Date last attended

Other	Date last attended

STEP Application

Personal Information

Church Information

Educational Information

Letter of Recommendation

Ministry Position

Other Employment