Application For Admission

Thank you for your interest in becoming a student in the Kingdom Covenant Leadership Institute's (KCLI) Online School.

Use this application form to enroll in the KCLI's Online School. Please complete all fields as indicated. Failure to complete the required fields or provide information requested may result in your application being delayed or denied.

You must be a registered Student in order to login in or select and purchase course materials.

 

 

* This Field is required This Field is required

Please be advised that the Enrolment Fee and Annual Renewal Fee each cost $50 USD. Both the Enrolment Fee and the Annual Renewal Fee are non refundable.

 

 
Title:
First Name: * This Field is required
Last Name: * This Field is required
Mailing Address: * This Field is required
City: * This Field is required
State/Province: * This Field is required
Postal/Zip Code: * This Field is required
Country: * This Field is required
Email: * This Field is required
Confirm Email: * This Field is required
Home Tel: * This Field is required
Business Tel:
Mobile:
Non-Refundable Enrolment Fee: Yes
Annual Renewal Fee: Yes
Existing KCLI Student: Yes If yes please indicate student #:
Date of Birth (mm/dd/yyyy): D/M/Y
Employment/Occupation: * This Field is required
How did you hear about KCLI?: * This Field is required
Affiliate Director Name:
Education:
Affiliate KCLI Campus (choose one):
Describe your Ministry and/or Leadership Experience:

* This Field is required “I understand that the Kingdom Covenant Leadership Institute is primarily a religious school.  Credits are not guaranteed to be accepted by secular or state run programs. Accrediting Commission International is primarily a private school association unrelated to government accreditation.”

* This Field is required I have read and accept the accreditation terms. (click "accreditation terms" link to view contents and type "yes")

**By typing yes in the box beside the accreditation terms link, you have agreed to the contents and disclaimer set forth in the accreditation terms document.

A * indicates a field is required