LSSM Application

LSSM Application

Please complete all sections and submit with application payment
LSSM Year Applying For: *

LSSM 1st Year 2019-2020 LSSM 2nd Year 2019-2020
Personal
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com

Address *

Street Address

City	State
Zip Code	Country

Gender *

Male Female
Birth Date *

Month Day Year
Age
Are you a U.S. Citizen *

Yes No
Visa Type
Marital Status

Single Married Separated Divorced Widowed
Name of Spouse
Children
Number of Children and Ages

Employment/Finances
Employment/ Finances
Occupation/Current Job
How do you plan to pay for your educational expenses?

Current income Borrowed funds Gift Other
Please explain if "Other" was selected
Do you see any potential conflicts in your ability to pay for your tuition?

No Yes, but NO financial aid is required Yes, and I would like to apply for financial aid

Financial Aid Section
Limited amount of partial scholarships and work study applications are available.
Work Study

LSSM Work Study runs from Sept to May, before or after every class. Work Study helps LSSM run smoothly and we appriciate your help! If accepted, a potion of your tuition would be paid by work study.

Set Up: Help the cook on Tuesday evenings from 4:45pm-5:45pm. Duties include: Chopping, preparing food, washing dishes, placing meal on tables for students. Make sure 2 classrooms are set up, might need to arrange chairs.

Clean Up: 9:15-10ish. Clean up crew will clean the dinner tables and classrooms and clean the kitchen. Put away food, dump out coffee, empty water containers, put away chairs. Wash all dishes left from dinner, dry them and put them away. Wipe down the kitchen counters.

Partial Scholarship

If accepted, a portion of your tuition would be covered by a partial scholarship. Amount is determined on a case by case basis and on availability of funds. There will still be a balance remaining for the student to pay. Payment plans are available.
Would you like to apply for:

Work Study or Partial Scholarship
Work Study
This is an 8 month commitment. Do you see any conflicts in your ability to help every Tuesday if accepted?

Yes No
If Yes please explain:
Partial Scholarship
Please explain your situation and why you are in need of a partial scholarship.
Do you have limitation that would prevent you from doing work study?
If there were financial coaching resources available, would you be interested?

Yes No

Spiritual
Spiritual
When did you accept Christ as your personal Savior? *
Have you been baptized in the Holy Spirit?

Yes No
What Church do you regularly attend?
If attendance is inconsistent or less than 6 months, please explain
In what ways are you actively involved in your home Church?

Statement of Purpose
Statement of Purpose
Briefly describe your testimony, your Christian experience, and your present walk with the Lord. *
Tell us why you want to attend LSSM this year? *
What do you hope to receive from attending LSSM? *
Are you able to attend the Identity Weekend (First weekend in October for Friday evening and all day Saturday)(ie 2019 dates are 10/4th & 10/5th) *

Yes No
How did you hear about Life School *

Friend/ word of mouth Facebook Church Web search BSSM ("School near you" search)
If an LSSM student referred you please include their name here:
Name

Application Payment
SAVE 50% on your app fee.

Apply before July 1st!

Use Coupon code below: LSSM25
For Returning Students Applying before June 1st

Use Coupon code to WAIVE your App Fee: LSSMFREE19

Pay Application Fee

Application Fee $ 50.00

Enter coupon

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Clicking Submit will process your application and submit your payment.

If you have not heard from us within a week of submiting your application, please contact our office at info@lssmsalem.com or by phone 503-362-6675.

Thank you for applying to LSSM!
Should be Empty:

LSSM Application

Personal

Personal Information

Employment/ Finances

Work Study

Partial Scholarship

Spiritual

Statement of Purpose

Application Payment