Launch Year Application Form - Spirit Word House

Date of Application *

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upload a digital portrait photo of yourself preferably in (.jpg) format. file size should be less tha 8 MB.

Prefix

First Name *

Middle Name

Last Name *

Gender *MaleFemale

Date of Birth *

Citizenship

Identity No./ Passport No. *

Country of Birth

Marital Status

Phone *

Email Address *

Street Address *

House, apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Occupation (currently, if any)

What is your home language?

Other languages you can speak and/or write

Information of Parent/Guardian

Name

Relationship *

Tel. *

Work Tel.

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Occupation

Number of dependants

Email Address

School Information

Name of School

Highest Grade completed

Date of Completion

Street Address

City

State/Province

ZIP / Postal Code

Country

School Tel.

Christian Experience

Name of Church or Fellowship

Pastor / Leader's name

Phone

List the responsibilities that you had in your local church (if any). e.g Youth Leader, Praise and Worship, etc

How long have you attended your church?

Have you had any christian training?YesNo

Briefly describe your conversion experience and what your present relationship with the Lord Jesus means to you.

Briefly describe why you feel led to come to this course and how you would benefit from it.

Between fulltime business and ministry, which do you see yourself pursuing in future?

CONFIDENTIAL REFERENCEKindly enter the contact details of your reference, so we can contact them.

Name of Reference

Relationship to you

Postal Address

City

State/Province

ZIP / Postal Code

Country

Phone

Email Address

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Launch Year Application

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