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Registration
WHEN FILLING OUT THE REGISTRATION APPLICATION ALL FIELDS MUST BE COMPLETELY FILLED IN.
Name:
Address:
City:
State:
Zip/Postal Code
Phone:
Fax:
Email Address:
Gender:
Male:
Female:
Date of Birth:
00/00/0000
Are you Ordained or Licensed in the Gospel
Ministry?
Years in Ministry:
Please list all Schools, Seminaries, and Bible colleges attended, and list all certificates, diplomas, and degrees earned.
Please indicate below the Degree Program you are applying for:
Bachelors
Masters
Doctorate
Please list the Field of Study preferred for each program checked above:
Please enter your denominational affiliation and the local church that you currently attend and/or serve:
(Please include church contact information)
Please check which theological system you would like to study under
(currently only offered in the Theology program)
Covenental/Reformed
Dispensational
No Preference
Initial here:
Date:
AFTER SUBMITTING THIS FORM GO TO ENROLLMENT PAGE TO COMPLETE REGISTRATION.
Mount Carmel IBS P O Box 6134 Lakewood, CA 90714-6134 Copyright © 2008 by New Life Christian Fellowship. All rights reserved