Enroll Form

Enrollment Application
Enrollment Application
Personal
First Name: Last Name:
Middle Name: Maiden Name:
Address:
City: State:
Zip Code:
Province:
Country:
Home Phone:

Gender :

Date of Birth:
MM DD YYYY
 
Place of Birth:
E-mail Address:
Ethnic Origin:
(Please select the option which best applies)
White/Caucasian
Black/Afro-American
Asian/Pacific Islander
Hispanic
American Indian/Alaskin Native
Other
Family
Marital Status: Spouse Name:
Children: (separate by coma)  
Give the Name, Address, and Phone Number of two personal references:
Reference 1
First Name:    Last Name:
Address:
City: State:
Zip Code: Phone:
Reference 2
First Name:  Last Name:
Address:
City: State:
Zip Code: Phone:
Business
Occupation:    
Years in Current Position:
Business Name:
Business Address:
Business Phone:
Indicate which method of study you would prefer:



Indicate which Degree Program you wish to enter and for which you may have met the entrance requirements:
Undergraduate:

of Biblical Studies
Associate of Christian Performing Arts

Bachelor of Theology
Bachelor of Ministry

Graduate:

Master of Biblical Studies
Master of Christian Counseling
Master of Ministry
Doctor of Ministry degree
Note: for student who are able to fufill some on-campus requirements (for example Christian International Ministry Traing College, or atteend verified Christian International Confrences or Seminars may qualify for the

Placement is not guaranteed until

Ministry
What do you believe is your Ministry in the body of Christ? :
Have you ever served in full
or part time ministry?


If Yes, approximate number of years of: (please enter the number of years in boxes below)
Full-time ministry years Part-time ministry years
Spiritual Information
 Home Church: Church Phone:
  Address:
City: State:
Zip Code: Name of Pastor
Denomination: Headquarters:
Length of Membership:
How often do you attend?
Age you accepted Christ as your Savior: years of age.
Identify and Date additional Christian Experiences:
Educational History




College
College transfer (no degree earned); Official Transcripts Required
College Graduate (other than Christian International); Official Transcripts Required
Christian international Graduate, re-enrolling (do not complete the remainder of this section)
Note: Official Transcripts Required.
Official Transcripts are embossed with the schools seal, they are signed by the registar, and they are sent directly from the issuing school to Christian Internationa
l
List below all the post-secondary schools you have attended
Nane of School, City & State, Degree or Credit Earned
(Seperate Schools by Line)
Standard of Living Agreement
Click Here to view the STANDARD OF LIVING AGREEMENT
I understand that the Standards of Living are to guide my behavior both on and off campus for the time I am enrolled at Christian International School of Ministry. Failure to abide by the Standards of Living can lead to dismissal from the institution at the Administration’s discretion. The failure of Christian International School of Ministry to exercise in the future. While it is recognized that personal preferences differ and that every member of the school community might not agree with every detail of these standards, I must honorably adhere to them. Such an attitude on my part is one of the ways I can develop Christian maturity and demonstrate the love of Christ in concern, both for the integrity of the school and the welfare of other believers.

Financial Commitment
There is a $75.00 Enrollment Fee to complete your Enrollment Process
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