Martin Methodist College -

Application for Admission

Academy for Congregational Leadership

Cal Turner, Jr. Center for Church Leadership

Martin Methodist College
2008

First Name

Last Name

Address

City

State

Zip

Phone Number

E-mail Address

Church Name

Church Address

Church City

Church State

Church Zip

How long have you been a member of this church?

District

In What Ministry are you involved?

Why are you interested in the ACL?

Briefly describe your educational background?

Work and Church-related Experience

Special Skills

Where did you hear about us?

Academy for Congregational Leadership

I certify that the information I have provided in this form is accurate and truthful. I also understand that this application is for the full basic course program that will include three weekend sessions and some additional homework studies before and between sessions. The dates for these 3 sessions for both the Core and Specialized Tracks are April 25-27th, 2008, October 17-19, 2008, and January 23-25th, 2009. Typing your name below acts as a signature for the above statement.

Type Your Name

Date

I am registering for:

The Core Classes

The Specialized Track

Specialized Field of Interest

Total Registration Fee per session is $225. A twenty-five dollar non-refundable registration fee ($25) must accompany this application. Balance will be due at the time of the weekend session. Please mail your registration fee to Attn: Tina McGill, 433 W. Madison St. Pulaski, TN 38478.

Single rooms are generally not available and, if they are, an additional cost will be assessed. Please specify if you have a particular need for one in the special needs section below.

Will you need hotel/housing accommodations?

Yes

No

Please specify any dietary or disability needs:

Special Needs

Please Specify Gender

Male

Female