Contact Information

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
FAX
E-mail
I will attend	On Site (La Mirada) Via Correspondence
I will send to the school office a $20 non-refundable deposit to reserve my books.	This amount will be credited to your tuition

Experience

Please answer the following questions to complete the application.

Your Reason For Attending	Certificate Program Personal Enrichment
Name of the church you are attending
Church denomination or affiliation
Church Phone Number
Pastor's Name
Years attended

Ministry Information

Please answer the following questions as fully as possible.

Describe your past ministry experience.

Describe your future ministry desires.

What do you hope that Calvary Chapel Bible Ministry School will do for you?

How did you hear about Calvary Chapel Bible Ministry School? Choose one of the following options:

Word of Mouth
KKLA
K-WAVE
Publication
Church Announcement
Other

Doctrinal Beliefs

Describe what you believe about the following subjects.

Jesus Christ

Holy Spirit

Trinity

The Bible

Salvation

Christ's Resurrection

Do you agree with the Statement of Faith

Yes No

If you disagree with the Statement of Faith, describe why.