Contact

Have a question?

Location

ALI's annual week-intense program is located at:

Assumption University, 500 Salisbury St, Worcester, MA 01609

New students who prefer to apply by mail, as well as returning students, can find their applications and instructions on the Apply Now page

Application Form

Please answer each question carefully.

All information will be regarded as confidential and will be handled accordingly.

If an item does not apply write N/A

Your Name

Mailing Address

City

State

Zip Code

Primary Phone

Secondary Phone

Email Address

Do you have any health factors we should be aware?

Emergency Contact Person

Phone Number

Name of Home Church

Pastor's Name

Pastor's Phone Number

Date of Water Baptism in Jesus Name

Date you received the Holy Spirit evidenced by speaking of tongues

High School/College

City/State

Date Attended

Date Graduated

High School/College

City/State

Date Attended

Date Graduated

High School/College

City/State

Date Attended

Date Graduated

List here the school, community, or Churchactivities to which you devoted your time and effort.

Are you willing to attend the full four years of ALI?

What your ministry plan or your service to the Lord?

How will you use the teaching of ALI in your personal life to influence others?

How will you use the training to benefit your pastor and local church?

What are the eight most important things ALI needs to know about you?

How valuable is truth to you?

How important is it to not only use the truth, but to use it?

How important is it for others to know what you know?

How important is it to you that you keep the commitments you give?

Please give us the name, address, and phone number of two (2) references outside of your family or Pastor.

Name (Reference 1)

Address

Phone Number

Name (Reference 2

Address

Phone Number

Policy Holder

Policy#

Insurance Company

Group#

Address

Phone#

City

State

Zip Code