Mailng Address (Including City, State, and Zip or Postal Code) *
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Home Phone *
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Cell Phone *
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Email *
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Secondary Email
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Gender *
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Male
Female
Marriage Status *
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Single
Married
Race *
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Citizen of *
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Place of Birth *
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Date of Birth *
MM
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DD
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YYYY
Church background/Denomination and Pastor's Name *
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What Church do you currently attend? (City, State) *
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Current Ministry Status (Select all that apply) *
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Ministry Credentials *
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Licensed
Ordained
N/A
Credentialing Organization
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Past Ministry Involvements *
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When did you start ministry? (MM/YYYY) *
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Have you ever previously attended Living Word Bible College? *
What is your preferred degree track? *
Please provide the name of your high school, your start and stop dates (MM/YYYY), whether you graduated, and whether you received a diploma or a GED. *
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Please list any other educational experience including the name of the college or university attended, the start and stop date of each(MM/YYYY), your major, and the diploma or degree that you earned.
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Please state your salvation testimony. (400 words or less) *
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Please briefly state your educational and ministry goals. 250 words or less *