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*
MaleFemale
SingleMarriedDivorcedWidowed
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
BA in Biblical Studies & LeadershipCertificate in Biblical LeadershipAudit A Course
TeachingEvangelismNone
Expected Start Term*
Select Start Term
Social MediaChurchReferralWebsiteOther
Other Referral
SECTION 4: Educational Background
YesNo
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*

Clear
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