audit application

EMPLOYER INFORMATION
Employer*
Company Name
Employer Phone # (Company Phone)*

Area CodePhone Number
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long at your present job?*
Work Contact*
Name
Work Phone*

Area CodePhone Number

RELIGOUS PREFERENCE
Church Name*
Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Phone Number*

Area CodePhone Number
Denomination Affiliation*
YesNo
Number of years attended*
Name of Pastor*

EMERGENCY CONTACT (OTHER THAN THOSE LIVING IN YOUR HOUSEHOLD)
1) Name, Address, Phone*
2) Name, Address, Phone*
3) Name, Address, Phone*
PLEASE ATTACH A TYPED ACCOUNT OF YOUR SPIRITUAL HISTORY AND REASON YOU DESIRE TO ATTEND
E4N SCHOOL OF MINISTRY, INC.
I AGREE TO ABIDE BY THE POLICIES OF THE E4N SCHOOL OF MINISTRY, INC.AND COMMIT TO PROMPT PAYMENT OF MY STUDENT TUITION. I ALSO GIVE MY PERMISSION TO THE E4N SCHOOL OF MINISTRY, INC. TO ADMINISTER MEDICAL ATTENTION IN CASE OF AN EMERGENCY.
Signature*
Today's Date*

MonthDayYear
Date
Signature (Parent, if minor)*
Today's Date*

MonthDayYear
Date
YOU MUST SUBMIT THE FOLLOWING WITH YOUR AUDIT APPLICATION:
A $10.00 APPLICATION FEE (CHECK, ONLINE, MONEY ORDER)
A RECENT 2” X 2” COLOR PASSPORT PHOTO
A COPY OF YOUR DRIVER’S LICENSE OR STATE I.D.
PLEASE SEND TO THE ATTENTION OF THE ADMISSIONS OFFICE.

You can upload directly to through this form, sending it to our email "office@e4network.org" (Subject line: Certificate/Diploma), or mail a digital copy of them to P.O Box, 490, Howard City, MI 49329

REFUNDS-All tuition and fees paid by the applicant shall be refunded if the applicant is rejected by the school before enrollment. An applicant fee of not more than $25.00 may be retained by the school if the applicant is denied. All tuition and fees paid by the applicant shall be refunded if requested within
three business days after signing a contract with the Center. All refunds shall be returned within 30 days. Once the 3 business days have elapsed, the following policies will apply.:

Tuition refunds for withdrawing from the school or dropping a course are as follows:

Full Refund : Before the class officially begins
70% Refund : During the first class meeting
50% Refund : After first class meeting and before second class meeting
No Refund : During or after second class meeting

Students are responsible for contacting the E4N SOM office regarding any change in registration status so any refunds due can be honored.

AUDIT FEE PER COURSE, $35
Please List the courses you will be auditing:*
File Upload (A RECENT 2” X 2” COLOR PASSPORT PHOTO, AND A COPY OF YOUR DRIVER’S LICENSE OR STATE I.D.)

Browse Files
This allows for multiple file uploads. Any images illegal in nature (violent, pornographic, etc) that are uploaded to this site are illegal, and you the uploader will accept full responsibility. Failure to comply will result in legal action. Cancelof
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AUDIT APPLICATION | FEE $10.00