School of Ministry

New Student Enrollment Form

Please complete and submit this form. You will be provided an opportunity to pay for your course after you submit this form.

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Date
	Mr.      Mrs.      Ms.
Full Name
Address				Apt.
City		State		Zip
Email Address
Phone		Work
Mobile		Other
Date of Birth:		Male      Female

Have you received Jesus Christ as your personal Savior?      Yes      No

Write a brief testimony of your Christian conversion. Also write a brief statement of how you were called into the ministry, if applicable.

High School Attended
City		State		Zip
Year Graduated
College Attended
City		State		Zip
Dates Attended
Degree Received
Seminary Attended
City		State		Zip
Dates Attended
Degree Received
Church Membership
City		State		Zip
Pastor's Name
Church Phone #
In what area of ministry or church service do you function?
Are you a Licensed Minister?      Yes      No
Are you a Ordained Minister?     Yes      No
Are you a Senior Pastor?            Yes      No
If yes, of what church and for how long?
Church Address
City		State		Zip
If accepted, I agree to maintain my behavior according to the standards of the Scripture.    Yes      No
If I am found in need of correction, I will humbly submit to the instructions of Scripture and to the requests of the class instructor.      Yes      No
I will respect my instructors and fellow students at all times.     Yes      No
I have read the Doctrinal Statement on the Beliefs page on this web site and I either agree with it or I will always respect it as the governing beliefs of Ministry with Excellence.       Yes      No
To the best of my ability, I have answered each question of this application truthfully and honestly.   Yes      No