SCM Registration Form

SCM Registration Form

Fill out the form carefully for registration
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Post code
Student E-mail
example@example.com
Mobile number
Have you accepted the Lord Jesus as a personal saviour of your life?

YesNoI am not sure
Write briefly your testimony on how you came know the Lord Jesus.
What is the name of your church?
What is your ministry or roll in your Church?
What are you expecting from SCM Bible school?
Should be Empty: