LEAD Application

Applicant Information
Which LEAD date would you prefer to attend?
First Name  
Last Name  
Date of Birth
Email  
Phone Number
Cell Number
Work Phone Number
Spouse Information
Spouse’s First Name
Spouse’s Last Name
Spouse’s Date of Birth
Spouse’s Email
Spouse’s Cell Phone Number
Spouse’s Work Phone Number
Anniversary Date
Home Address
Address  
City  
State  
ZIP  
Work Information
Employer  
Your Professional Title  
Address  
City  
State  
ZIP  
Open Ended Questions
What do you hope to gain from LEAD?
How did you hear about LEAD?

Please send a photo of you and your spouse to astidham@dts.edu.

Payment Options

A $500 deposit is due before your application will be accepted. (Your deposit is only refundable up to 4 months before your requested LEAD date). Please complete the payment section below. The remaining balance of $3,500 will be due 3 months prior to your specific LEAD date. (This fee is non-refundable).

Payment Information
Payment Method:
What will you be paying?
Amount:    
Card Type
Name on Card  
Card Number  
Security Code  
Expiration Date    

Please send a check made out to “Dallas Theological Seminary” to:

Dallas Theological Seminary
The Hendricks Center
3909 Swiss Avenue
Dallas, TX 75204