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IPAW Student Application Form
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2024-01-17T08:19:05-05:00
IPAW Student Application Form
Name
(Required)
First
Middle
Last
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Cell Phone
(Required)
Home Phone
Email
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
Are you over 18 years of age?
Yes
No
Do you have the consent of your parents or legal guardian?
Yes
No
How long have you been a Christian?
(Required)
How old were you when you first believed you were called into ministry?
(Required)
In about 30 words or less, please tell us why you feel you are called into the ministry?
(Required)
Is your Pastor in agreement for you to enroll in IPAW?
Yes
No
Pastor's Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Church Name
Church Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Pastor's Cell Number
Church Office Phone
A Pastor’s recommendation in 30 words or less:
IPAW Student's Electronic Signature
(Required)
By signing (manually or electronically) the applicant understands that failure to abide by the Bylaws of and Scriptural interpretations by ICCM may result in credential revocation. By signing with your electronic signature you agree that it has the same legal validity as if you were signing by hand. Please place your initials between two forward slash symbols: ex. /ABC/
Date
(Required)
MM slash DD slash YYYY
Pastor's Electronic Signature
By signing with your electronic signature you agree that it has the same legal validity as if you were signing by hand. Please place your initials between two forward slash symbols: ex. /ABC/
Date
MM slash DD slash YYYY
Parent’s or Legal Guardian’s Electronic Signature
By signing (manually or electronically) the applicant understands that failure to abide by the Bylaws of and Scriptural interpretations by ICCM may result in credential revocation. By signing with your electronic signature you agree that it has the same legal validity as if you were signing by hand. Please place your initials between two forward slash symbols: ex. /ABC/
Date
MM slash DD slash YYYY
I agree to receiving marketing and promotional materials.
In compliance with A2P 10 DLC regulations, CMTC respects your privacy in our use of SMS messaging. We collect and use your phone number only for sending necessary transactional and optional promotional SMS messages. Your phone number is stored securely and is not shared with third parties. You have the right to withdraw your consent for SMS messages at any time.
Comments
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