| Enrollment
Application |
| Personal |
| First
Name: |
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Last
Name: |
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| Middle
Name: |
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Maiden
Name: |
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| Address: |
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| City: |
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State: |
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| Zip
Code: |
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Province: |
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| Country: |
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Home
Phone: |
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Gender : |
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Date
of Birth: |
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Place
of Birth:
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E-mail
Address: |
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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:
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Spouse
Name: |
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| Children:
(separate by coma) |
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| Give
the Name, Address, and Phone Number of two personal references:
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| Reference
1 |
| First Name:
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Last
Name: |
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| Address: |
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| City: |
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State: |
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| Zip
Code: |
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Phone: |
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| Reference
2 |
| First Name: |
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Last
Name: |
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| Address: |
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| City: |
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State: |
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| Zip
Code: |
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Phone: |
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| Business |
| Occupation: |
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| Years in Current Position:
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| Business
Name:
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| Business
Address:
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| Business
Phone:
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| Indicate
which method of study you would prefer: |
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| Indicate which Degree Program you wish
to enter and for which you may have met the entrance requirements: |
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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
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| Ministry |
| What
do you believe is your Ministry in the body of Christ? : |
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Have
you ever served in full
or part time ministry? |
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| 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: |
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Church Phone: |
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Address: |
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| City: |
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State: |
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| Zip Code: |
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Name of Pastor |
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| Denomination: |
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Headquarters: |
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| Length of Membership:
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| How often do you attend?
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| Age you accepted Christ as your Savior:
years of age. |
| Identify and Date additional Christian
Experiences: |
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| Educational
History |
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| College |
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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 International |
List
below all the post-secondary schools you have attended
Nane of School, City & State, Degree or Credit Earned
(Seperate Schools by Line) |
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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. |
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| Financial
Commitment |
There is a $75.00 Enrollment Fee to complete
your Enrollment Process
Please click the Continue button bellow once to continue to the
Shopping Cart
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