PERSONAL INFORMATION *

Your first name is required. Use letters only.

Your middle name is required. Use letters only.

Your last name is required. Use letters only.

Your birth date is required. Example: YYYY/MM/DD

Your street address is required. Enter a valid street address

Your City, State/Province, and Zip/Postal Code are required.

Please enter your Country (if other than U.S.)

Your primary phone number is required. Example: 123-456-7890

Your email address is required. Please enter a valid email address.

Your Country of Citizenship is required.

ENROLLMENT INFORMATION *

Please list what course(s) you wish to audit. Please list the course title and the semester offered.

 

EDUCATIONAL INFORMATION *

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List each post high school institution where at least one course was taken for credit. *
Please list School // Location // Mo/Yr. Attended // Degree Pursued // Mo./Yr. of Graduation (if applicable)

CHURCH AND DENOMINATIONAL INFORMATION

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Please enter the specific denominational affiliation of the church?

MINISTRY AND RELEVANT MINISTRY EXPERIENCE *

Position // Place // Dates (list all that apply):

I declare this application is accurate and complete. I have reviewed the student handbook, catalog, and accreditation and payment information, acknowledge the information stated, and agree to adhere to the terms. *

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