APPLICATION CMI
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PRINT THIS APPLICATION AND SEND EVERYTHING AT ONCE. IF YOU SEND THE FIRST PAYMENT OF $40.00 TOWARD YOUR FIRST COURSE WE WILL SEND THE COURSE MATERIALS WITH YOUR CONTRACT.
 
Fax: 1-360-656-9096
 
MAIL TO:
 
CHRISTIAN MINISTRY INSTITUTE
P.O. Box 1500
GRANBURY, TEXAS  76048  U.S.A.
 

 
 
Christian Ministry Institute
P.O. Box 1500 + Granbury, TX 76048
817-579-0754

APPLICATION FORM


1. Full Name: (Last)_______________________________________

(First) ______________________ (Middle)____________________


2. Residence Address: (No./St.)

___________________________________________________________

(City) ____________________________________________________

(State) __________________________________________________

(Zip Code) _______________________________________________

Telephone Residence (_____) _______________________________

3. Date of birth ________________________ Age __________

Sex: __ Male __ Female S.S.# ____________________


4. Spouses Name (If married)

___________________________________________________________

S.S. # ____________________________________________________


5. Diplomas Held:

__ High School

___________________________________________________________

__ GED

___________________________________________________________

__ Highest Earned Counseling Degree

___________________________________________________________

__ Highest Earned Bible Degree

___________________________________________________________

__ Highest Earned Other Degree

___________________________________________________________


6. Other Accomplishments (Seminars, Institutes, Author of Books, Etc)

___________________________________________________________

___________________________________________________________

___________________________________________________________


7. Professional Licenses or Certificates Held

___________________________________________________________

___________________________________________________________

___________________________________________________________


10. Books, Articles, Writing, Etc. (explain)

___________________________________________________________

___________________________________________________________

___________________________________________________________

__ Transcripts Enclosed

__ Transcripts will be forwarded within 30 days.

__ Please evaluate for Life Experience Credits (Please include Ministry resume with this form)

If you are involved in ministry, please use the back of this form to briefly tell us about your ministry (type of ministry, how long involved, etc.)


___________________________________________________________
DATE



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APPLICANTS SIGNATURE







Please explain your doctrinal views in the following areas. Be as brief as possible. However, use the additional space on the back of the form if needed.

* * * * * * * * * * * * * * * * * * *

Salvation:














The Trinity:














Water Baptism:















Christian Ministry Institute
P.O. Box 1500
Granbury, TX 76048  U.S.A.
Phone 817-579-0774

Ministerial Resume

Full Name: (Last)__________________________________________

(First) ________________________ (Middle)__________________


Residence Address: (No./St.)

___________________________________________________________

(City) ____________________________________________________

(State) __________________________________________________

(Zip Code) _______________________________________________

Telephone Residence (_____) _______________________________

Date of birth ______________________________ Age ________

Sex: __ Male __ Female S.S.# _____________________

Place of Employment

___________________________________________________________


EVALUATION FOR: Two Year Diploma, A.A., B.A., M.A., M.Div., M.Th., Doctoral, Ph.D. (Circle one)

Your Objectives:




Educational Background:




Ministry Experience:




Certificates / Degrees Held:




Volunteer Work:




Military Experience:




You may use the back of this form or add another page to complete your answers

This form may be MAILED to the above address or FAXED