STEP Application - LMC – a fellowship of anabaptist churches

Date*

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*

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

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

Other	Date last attended

Provide either a High School or a College official transcript directly to LMC, Attn: STEP Program, LMC Office, 2160 Lincoln Highway East #5, Lancaster, PA 17602, 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.

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

To

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

To

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

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.