Admission Applications

SECTION 1: Personal Information
First Name
Last Name
Preferred Name
Date of Birth

MonthDayYear
Select Date
Email Address
example@example.com
Phone Number
Gender
Marital Status
Mailing Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
SECTION 2: Emergency Contact
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email
example@example.com
SECTION 3: Program Information
Intended Program of Study:
Optional Certificate Track
Expected Start Term
Select Start Term
How did you hear about RGI?
Other Referral
SECTION 4: Educational Background
High School Diploma / GED Received
Year Completed
Previous College or Training (if any):
Degrees/Certificates Earned:
Note: RGI does not accepts transfer credits.
SECTION 5: Ministry & Faith Background
Church/Assembly Name:
Pastor/Leader’s Name:
Church Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Church Email:
example@example.com
How long have you been a believer in Yahusha (Jesus Christ)?
Years/Months
Briefly describe your salvation testimony:
Describe your current ministry involvement (if any):
What do you believe your calling or purpose is?
SECTION 6: Personal Statement

Please provide a brief 3–5 sentence written response for each of the following.
Why do you desire to attend Remnant Global Institute?
What do you hope to gain spiritually, personally, and professionally?
How do you plan to use your training to impact others?
SECTION 7: References

Please list two (2) references, including one spiritual and one personal or professional.
Spiritual Reference Name
Spiritual Reference Relationship
Spiritual Reference Phone
Please enter a valid phone number.Format: (000) 000-0000.
Spiritual Reference Email
example@example.com
Personal /Professional Reference Name
Personal /Professional Reference Relationship
Personal /Professional Reference Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Personal /Professional Reference Email:
example@example.com
SECTION 8: Agreements & Declarations

Please read and check each box:
Signature
Signature Date

MonthDayYear
Date
Should be Empty:

SECTION 1: Personal Information

SECTION 2: Emergency Contact

SECTION 3: Program Information

SECTION 4: Educational Background

SECTION 5: Ministry & Faith Background

SECTION 6: Personal Statement

SECTION 7: References

SECTION 8: Agreements & Declarations