Meet the Staff
Application For Admission
Confirm Email address
Address Line 1
Address Line 2
Date of Birth
Country of Birth
* Please explain the circumstances in the field below.
Explanation of marital status if required*
Conditions of Enrollment
1. Students are expected to participate in every element of the weekly schedule. Punctuality and cooperation are essential for the well being of the student body and for personal discipline. Students who miss class or work for reasons other than sickness or extenuating circumstances will not complete the program. 2. All students attend the same classes. There will be a different teacher and topic each week. Homework includes a weekly response paper and Bible reading, along with assignments from teachers. 3. The use of all forms of alcoholic beverages, tobacco, and recreational drugs is not allowed while enrolled as a student. 4. Students are not allowed to bring firearms to school. Pets are not allowed on campus. 5. A major part of discipleship is hard work. In order to cover the cost of the program, each student will participate in daily and weekly work projects and shifts. Term #3 will focus extensively on work as discipleship. A teachable heart, good attitude and hard work will be essential for all students. 6. Additional rules and guidelines will be in effect during the school term. These are fully explained and presented in the Student Handbook, which the student will receive during student orientation. 7. All students must pass a state and national background check in order to participate in the program because of the nature of the campus and its proximity to minors.
If married, spouses name
Check any that apply.
Have you accepted Jesus as your Lord and Savior?
Year you graduated from high school
High school graduation in not required, however you must be 18 years old to attend.
Are you applying to any other schools?
If so, which school(s)?
How did you hear about us?
I understand that by submitting this form, Adelphia Discipleship School will be contacting me by email, text and phone. Submitting this form also constitutes my express written consent to receive phone calls and text messages from Adelphia Discipleship School, at the phone number(s) I have provided, including a wireless number. I also understand that consent is not a condition of enrollment. NOTE: Enrollment does not mean or imply acceptance into Adelphia Discipleship School.
I was referred by
Pastoral Reference: Name
Pastoral Reference: Email
Pastoral Reference: Phone Number
Personal Reference: Name
Personal Reference: Email
Personal Reference: Phone Number