HSSM Application Form

HSSM Application Form
Personal Information
Name*

First NameLast Name
Your gender:*

MaleFemale
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you a South African Citizen?*

YesNo
If not, please define your nationality below:
What is your home language?*
This course is presented in English. How comfortable are you to read, write and communicate in English?*

Very comfortableComfortableNot very comfortableVery uncomfortable
Personal well-being
Please describe any physical, emotional or psychological conditions. State any special attention, treatment or medication required:*
Emergency Contact Details

Please fill in next of kin details
Name #1*

First NameLast Name
Relationship to applicant*
Phone Number*
Please enter a valid phone number.
Name #2*

First NameLast Name
Relationship to applicant*
Phone Number*
Please enter a valid phone number.
Marital Status
Are you married?*

YesNo
Please describe your relationship with your spouse or partner:*
Are you contemplating separation or divorce?*

YesNoNA (Not married)
If yes, please briefly explain why:
Spiritual Background
Please describe your salvation experience, and when you excepted Christ as your Saviour:*
Please describe your current relationship with God:*
Are you a member of a church or small group?*

YesNo
What is the name of your church/small group?
What is the pastor/leader's name?
Please describe your involvement with this community shortly:
Please describe your view on women in ministry shortly:*
Please describe why you want to attend HSSM:*
Personal Background Information

Please take note: Answering yes to any of the following questions will NOT automatically disqualify you from being accepted at HSSM.
Have you ever been arrested?*

YesNo
Have you ever been convicted?*

YesNo
If you answered yes, to any of the two questions above, please provide a brief explanation:
Have you ever been involved in any way in the occult, witchcraft or cults?*

YesNo
If yes, please provide a brief explanation:
Have you used any illegal drugs in the past 6 to 12 months?*

YesNo
If yes, please provide a brief explanation:
What are your views on sexual purity?*
Tuition Fees 2024

Payment options
The tuition fees for HSSM First & Second Year 2024 is R2000. We have two payment options available:

Option 1: Once-off fee of R2000 with application.
Option 2: 10 x R200 monthly payments, first installment due with application.

We currently only accept EFT payments.

BANKING DETAILS:
Account name: Hermanus School of Supernatural Ministry (or HSSM)
Bank: FNB (First National Bank)
Branch: Hermanus
Branch Code: 200412
Account No.: 63074670449
Savings Account
Reference: First name + Surname

We are excited to have you join us for The Hermanus School of Supernatural (HSSM) 2024.
My payment option is:*

Once off R200010 x R200 monthly fee
Year of Study
Which year are you applying for? (Please note that only first year graduates can apply for second year and so forth.)

First YearSecond YearThird YearFirst Year OnlineSecond Year Online
Thank you for your application!

If you do not hear from us within 7 days, kindly contact our office at info@hechurch.com.
I have read and hereby agree to the financial policies and terms of service stated above.*

I agree
Should be Empty:

HSSM Application Form

Personal Information

Personal well-being

Emergency Contact Details

Marital Status

Spiritual Background

Personal Background Information

Year of Study

Thank you for your application!