NMBTS Fall 2024 Enrollment Application

368 Sunflower Ave, Clarkdale, MS, 38614

nmbtseminars@gmail.com

www.nmbts.com

(662) 627-1545
Enrollment Application

Complete the application below to apply for enrollment with NMBTS. Prior to completing the application, please take a moment to carefully read through our Admissions Overview. For more information, please email us at info@nmbts.com.
Were you enrolled in the Fall 2023 Semester?

YesNo
Name*

First NameMiddle InitialLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemale
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Please list any special needs or complications you may have that the committee should be aware of?
Please upload a photo of yourself. (Or take a photo.)

Cancelof
Take Photo

Please make checks payable to 'COGIC State Funds'. Be sure to place 'Biblical Training Seminars' in the memo section of the check.

Checks can be mailed or brought to the Jurisdictional Headquarters.

368 Sunflower Ave.
Clarksdale, MS 38614
Send payment via CashApp to $cogicnorthms.

Be sure to indicate that it is for 'Biblical Training Seminars'.
Send payment via Givelify to Church of God in Christ Northern Mississippi.

Click here to make payment via Givelify.

Be sure to indicate that it is for 'Biblical Training Seminars'.
Please provide the name, phone number and email address of the person who will be paying for you.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email of person paying
example@example.com

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Enrollment Application