Apply Online

BEFORE COMPLETING THIS FORM

* All information is required

  • Have a photo to attach.
  • Write a one-page autobiography and include your conversion, the journey of your growth in Christ, your involvement in Christian leadership, and your expectations and goals as a JRLC Student.
  • A non-refundable application fee of $25 must be paid electronically with a credit card.
Indicate Desired Entrance Date

Personal Information

Applicant's Name

Present Address

Permanent Address

Contact Information

Birthday

Are you a US Citizen?

Are you a permanent U.S. resident?

Do you consider English your first language?


Ethnic Origin

(Requested to comply with federal guidelines-will not be used to determine admission status)

Marital Status

Has your spouse been previously married?
If “yes”, is former companion living?
If married, do you plan to live in campus housing?
Are you a veteran of the armed services?
Veteran's dependant?
Are you in the National Guard or Reserves?
Will you be receiving V. A. Educational Benefits?

Employment

Educational Background

Last high school attended

Type of high school (Check one)
Did you graduate?
If not, do you have a GED?

Higher Education

Have you attended any educational institutions (i.e. colleges, technical schools, trade school) beyond the high school level?

If “yes” list below all the institutions attended.

Request official copies of high school and all college transcripts be sent directly to the Office of James River Leadership College.

Family Information

Parents Marital Status

Father's Name

Address

Christian?
Living?

Mother's Name

Address

Christian?
Living?

If not living with both parents, with whom do you reside?

Relationship to you

Behavior History

Have you ever been convicted of a crime other than traffic related offenses?

If on parole/probation, please provide the following:

Have you been involved in immoral sexual activity within the last 12 months?
Have you been involved in pornography within the last 12 months?
Have you used tobacco, alcohol or illegal drugs within the last 12 months?

Christian Experience

Have you backslidden since conversion?
Have you received the Baptism of the Holy Spirit according to Acts 2:4?

What church do you attend?

Autobiography

In your own words, please upload a one page autobiography that includes:

  1. The story of your conversion.
  2. The journey of your growth in Christ
  3. Your involvment in Christian leadership and service.
  4. Your expectations and goals as a JRLC student.

The uploaded file should either be a Microsoft Word document or a PDF document

Photograph

Please provide a JPEG of a clear photograph of yourself.

Required for acceptance decision:

  1. Submit to James River Leadership College the completed application with a non-refundable $25 application fee and a recent photo of yourself.
  2. Sign and mail your one page typed autobiography.
  3. Request that your pastor complete and forward your Pastoral Reference to JRLC.
  4. Request that your educator/counselor complete and forward your Academic Reference to JRLC
  5. Request that your high school and all college transcripts be forwarded to JRLC.
  6. Provide JRLC with your ACT and/or SAT scores and send all updated scores as you retake the tests.

By submitting this application, I am certifying that the information supplied is true and complete. Any falsification or omission of information may be grounds for denial of admission or for dismissal. If I am accepted for admission and enroll as a student at James River Leadership College, I agree to abide by the standards and rules of the College.

Please submit other materials to ...

JAMES RIVER LEADERSHIP COLLEGE
6100 NORTH 19TH STREET
OZARK, MISSOURI 65721
TEL. (417) 581-5433
FAX. (417) 582-0167

Documents you need to send us

  • Official High School Transcript
  • Official College Transcript
  • SAT/ACT Scores
  • Educator Reference
  • Pastor Reference
  • Employee/Friend Reference
Blog