Shield of Faith Bible College Enrollment Application

Full Name: *

Address:

City/State: *

Zip Code: *

Country: *

E-Mail Address: *

Home Phone: *

Cell Number: *

Gender: *

Birth Date: *

Birth Place: *

Nationality: *

Marital Status: *

Name of Spouse:

Number of Children: *

Spiritual History:

Date Water Baptized: *

Place: *

Date Spirit Filled: *

Place: *

Educational History:

High School Attended: *

Diploma? *

College Attended:

Type of Degree Conferred:

Vocational Training:

Field of Certification:

Bible College Attended:

Degree Conferred:

Home Church Information:

Senior Pastor Name: *

Church Name: *

Phone Number: *

Address: *

Fax Number:

City/State: *

Zip Code: *

Country: *

Ministry:

Ministry position or service you provide: *

When did you first sense a call to ministry: *

Are you in ministry? *

How long have you been functioning in ministry? *

Gifts that you have an anointing to operate in? *

Attributes you posses that make you a successful minister? *

Credentials:

Do you presently hold ministry credentials with another organization? *

Type of Credential:

Name of Organization:

Address:

City/State:

Zip Code:

Country:

Date of Membership:

Has your credential ever been revoked or suspended? *

If yes, please explain the reason and final disposition of the matter.

Transferees from another Organization

Transferring from another Organization? *

Name of Organization:

Address:

City/State:

Zip Code:

Country:

Denomination:

Former Pastor:

How long were you a member?

What position did you hold?

Were you ordained?

Year Ordained:

Were you licensed?

Year licensed?

What was your title?

ADDITIONAL INFORMATION:

I understand that any misrepresentation of facts in this application may result in refusal or revocation of license.

A non-refundable Registration Fee accompanies this form.

$25.00 - Click the Link Below to Pay On: Givelify.com