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Please confirm:* Please confirm:* |
First Name* First Name* |
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Last Name* Last Name* |
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E-mail Address* E-mail Address* |
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Street Address* Street Address* |
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City* City* |
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State/Prov* State/Prov* |
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Zip/Postal Code* Zip/Postal Code* |
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Country* Country* |
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Home Phone* Home Phone* |
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Please indicate your highest education grade obtained:* Please indicate your highest education grade obtained:* |
Please indicate major courses taken for above indicated education.* Please indicate major courses taken for above indicated education.* |
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Please indicate any specific Christian/Theological courses you've taken and where.* Please indicate any specific Christian/Theological courses you've taken and where.* |
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Please indicate which Course/Program you are registering for now:* Please indicate which Course/Program you are registering for now:* |
Please write the title of the Course or Program you are registering for:* Please write the title of the Course or Program you are registering for:* |
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Please type in your special NPM cost (shown on the course listing page) of the course/program named above:* Please type in your special NPM cost (shown on the course listing page) of the course/program named above:* |
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Please indicate most appropriate category that fits you at this time:* Please indicate most appropriate category that fits you at this time:* |
Tell us briefly how and when you became a Christian. If you need more space, please attach a separate sheet to your printed application. If you are not a Christian, please tell us about your spiritual belief.* Tell us briefly how and when you became a Christian. If you need more space, please attach a separate sheet to your printed application. If you are not a Christian, please tell us about your spiritual belief.* |
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Are you in ministry now? If YES, tell us briefly about it. If NO tell us what your plans are.* Are you in ministry now? If YES, tell us briefly about it. If NO tell us what your plans are.* |
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Please tell us briefly why you decided to commit yourself to formal studies of the Word of God.* Please tell us briefly why you decided to commit yourself to formal studies of the Word of God.* |
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Please give a personal reference, other than a relative -- Complete name, profession, address, phone #:* Please give a personal reference, other than a relative -- Complete name, profession, address, phone #:* |
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Please tell us the name of your home church, name of Pastor and full address and phone #:* Please tell us the name of your home church, name of Pastor and full address and phone #:* |
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Please check below:* Please check below:* |
Please type your name here and add your signature on the printed form you will be mailing:* Please type your name here and add your signature on the printed form you will be mailing:* |
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Please type in today's date:* Please type in today's date:* |
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