Application For Enrollment As A Student

AMI Fivefold Ministry School

Please Note:

On completion of this application you will be required to pay fee of
$50.00 via PayPal

Total Amount Due : $50.00

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. Fill out and submit this application form as usual.
2. Send your check or money order payment of $150 to the Name and Address given on the confirmation page.(Will show after you press the 'send application' button)

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

Note: Fields Shown In RED must be filled in or you cannot proceed

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:


Fax No:

URL (Your Website Address):

How Long Have You Been A Christian:

Ministry or Church Status:

Other Ministry Status:

Choose a Password (cannot be blank):

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

Would you like to take a ministry evaluation first before enrolling in your courses?

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?:

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New Student Application