Course Registration

​Please fill out this form and we shall get back to you.

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Full Name *
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Phone Number *
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Program Of Study *
  • - select your title -
  • Certificate
  • Diploma
  • Advanced Diploma
  • Associate Degree
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List Of Course Requirements *
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Electronic Signature *
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Enter Time *
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Email Address *
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Mailing Address *
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Course Major Or Concentration *
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  • Biblical Studies
  • Theology
  • Christian Counseling
  • Christian Education
  • Christian Missions
  • Divinity
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  • Religious Education
  • Ministry
  • Christian Administration
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Please Leave Additional Comment *
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Enter Date *
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NB:  Be sure to complete all REQUIRED FILL with *