Colleges and Seminaries

Application for Enrollment

P.O. Box 419

115 East Hwy 42

Bedford , Ky 40006

(202) 449-3792

 

Please print or type. It is important to complete all information.

 

PART I:

 

Name (last) ______________________First Name_________________Middle________

Street ___________________________________ Email__________________________

City____________________State__________________

Country____________Zip__________

Home Phone:____________________________Office Phone:______________________

Date of Birth_______/_______/_______SSN______-______-______ Sex____________

Church Membership_______________________________________________________

Pastor's Name___________________________________________________________

Pastor's Address__________________________________________________________

City___________________State___________________Country____________Zip__________

 

PART II:

 

Christian Life Experience (CLEP) you may apply for course credit toward part or all of your Associate Degree. Please send a resume of Christ experience with documentation.

Total years of Christian Service____________Type(s) of Service________________________

 

Education (check all that apply):

High School _______  GED_______ College Degree____________

List all colleges, universities, schools and seminars attended. Include workshops, certificate courses and other significant formal training.

Attach legible copies of diplomas, certificates, transcripts or other verifiable documentation of training. Evaluation for course credits will be made by the information you supply.

 

School or College Attended Location Dates Degree/Certificate

______________________________ _____________ ________ _________________

 

______________________________ _____________ ________ _________________

 

______________________________ _____________ ________ _________________

 

______________________________ _____________ ________ _________________

 

PART III:

 

Application Checklist

  1. __________I will like to enroll for Christian Training.
  2. __________I have been called to the ministry and I was to enroll.
  3. __________I am currently in the ministry but I want more education or to continue my education.
  4. __________I desire a High School diploma.
  5. __________I am a Pastor and desire Diplomas for my graduating students.
  6. __________I have attached a written account of my salvation experience.
  7. __________I have attached a resume of my life, work and ministry experience (CLEP only).
  8. __________I wish to enroll in the following checked program (check only one):

____Christian Worker Certificate ____Teacher Certificate____Pastoral Certificate

____Assoc. Degree_____Bachelors Degree_____Master Degree_____Doctor Degree

  1. __________I have enclosed $50 ( U.S. nonrefundable Canada $85 nonrefundable) as the application fee – If you are unable to pay this fee and you are in the ICOF let us know. Send the application anyway. Our first goal is education for those who want to minister.
  2. __________I have enclosed a current photograph of me for school records.

 

 

 

 

 

______________________________________ ___________________

Signature of applicant                                                      Date

 

 

 

________________________________________________   _____________

Signature of applicant's parent (if applicant is under age)           Date

 

 

 

_______________      _________________________        ________________ 

Print Name                               Signature                                      Date

ICOF Colleges and Universities