Wosem Bible Institute Application
Online Theological Education
Application fee can be paid online, via zelle to WBI@wosem.org OR by check to WOSEM Bible Institute's account number 700563122 @ JPMorgan Chase Bank.
Personal Information
Which Program are you applying for?
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Certicate
Diploma
Name
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First Name
Last Name
Gender
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Male
Female
Date of Birth
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-
Month
-
Day
Year
Date
Place of Birth
Phone Number
*
Please enter a valid phone number.
Email
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example@example.com
Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Marital Status
Occupation/Profession
Did you attend any Bible School/Institute before?
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Yes
No
If Yes, Please State the Name of the School?
How Many year(s) or month(s)did you attend a Bible School?
Ministry Information:
Church/Ministry Name:
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Church Address:
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Minister Full Name:
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First Name
Last Name
Minister Phone Number:
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Please enter a valid phone number.
Date Of Conversion:
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-
Month
-
Day
Year
Date
In what capacity are you serving OR have you served in your Church/Ministry?
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Medical Alerts/Conditions/Allergies:
Name, Address & Telephone # of References:
Emergency Contact (Optional)
Full Name:
First Name
Last Name
Relationship:
Phone Number
Please enter a valid phone number.
Attestation: I hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of facts may subject me to disciplinary action(s). Applicant’s Signature:
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Submit
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