Application For Enrollment As A Student

Please Note:

On completion of this application you will be required to pay an enrollment fee of
$50.00 and your first month Student Fees of $50.00 via PayPal

Total Amount Due : $100.00

If you fail to do this fails, your application will be left pending until payment is received

If you would like to pay by check or money order, then please

1. Print out this form and make out a check or money order for USD $100.00 to Global Ministry Resource Network.
2. Mail both to the following postal address:

Global Ministry Resources
5663 Balboa Ave #416
San Diego, CA 92111
USA

On confirmation of payment, you will be given a Student Number which will allow you to login, using the password that you gave us.

Please Fill In All Fields and click the Send Application button at the bottom

Your Email Address (please get it right, or we cannot contact you):

Title (Mr, Mrs, Ms, Dr, etc)

First Name:

Middle Initial:

Last Name:

Gender (Male/Female):

Country of Citizenship:

Birth Day:

Birth Month:

Birth Year:

Marital Status:

Other Marital Status:

Physical Address:

Ministry Name (If Applicable):

Street Address:

City Address:

State Address:

Postal Zip:

Country Address:

Phone:

Fax No:

URL (Your Website Address):

How Long Have You Been A Christian:

Ministry or Church Status:

Other Ministry Status:

Choose a Password (connot be blank):

Do you wish To Receive Your Lessons in Html Format or Plain Text:

Give A Short Testimony Of How You Were Saved:

Give A Brief Descripton of Your Experience in Ministry:

Give A Summary of Past Mentors:

Mention Any Strong Convictions You Have Regarding Doctrine:

What Are Some of Your Goals and Desires in Ministry?: