Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Address *City *State *Zip *Name of Local ChurchName of PastorAre you born again? *YesNoIf Yes, Date:Are you filled with the Holy Spirit with the evidence of speaking in tongues? *YesNoDo you operate in any of the gifts of the Spirit as listed in 1 Corinthians 12:1-12? *YesNoIf Yes, List:Submit Pay There are also full and partial scholarships available for tuition. To be considered for a scholarship, please fill out the scholarship application form.
