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
___________________________________________________________ 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
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