KDSOM Application

Student Information
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender:*
Birth Date*

MonthDayYear
SingleSeparatedWidowedMarried
Primary Phone Number*

Area CodePhone Number
E-mail*
YesNo
If yes, what is your current occupation?
Yes, I'm a member of another churchNoI'm a member of Miracle Arena
Do you currently serve in your church? If yes, please explain what role or position you serve in.
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Spiritual History / Background
YesNo, I have not made the commitment yet
How long have you been a born again believer? Describe your relationship with God?*
How long have you attended Miracle Arena for All Nations in person or online? *
What other church, if any, have you been apart of an attended regularly in the past 5 years? * (Name / Dates attended)*
What leadership /related experience(s) or training do you have in regards to serving in Ministry? *
YesNo
YesNo
If you have answered yes to either of the 2 questions above, please share what your experiences were below.
YesNo
If yes, please explain below.
Page 3 of 4

Ministry References
YesNoNot Applicable
YesNoNot Applicable
Reference #1
Please list your former Pastor(s) and or Associate Pastor(s) full names and current personal phone numbers below

First NameLast Name
Phone Number

Area CodePhone Number
How long have you known them?
Reference #2
First NameLast Name
Phone Number

Area CodePhone Number
How long have you known them?
Outline of Training Commitments Required
In order to successfully participate in the School of Ministry the following commitments will be required :
- Attending online meetings with the Man of God on the First and Last Monday of the month at 7:00 pm. This will be for the next three months as follows: August 5th & 26th and September 2nd & 30th, and October 7th & 28th.
- 24hrs of Dry Fasting will also be on the first and last Fridays of the month on: August 2nd & 30th and Sept. 6th & 27th.
- Finally in September we will conclude with a 3 Day Dry Fast (no food and continue for the full 3 days) from Thursday September 26th - Saturday September 28th. This time will be for practical demonstration of what you have learned (Prophetic / Healing /
  Teaching).

Personal Disclosure Information
Is there anything in your life that you are believing to be healed from?
Are there any challenges you are currently trying to overcome?
Do you have any additional comments you would like to make about your Registration Application?
*A seperate form will be sent to set up your automactic monthly seed.
I,First Name* Last Name* herby confirm that the information provided in this application true and correct to the best of my knowledge. I authorize all references listed in this application form to provide the Kofi Danso School of Ministry (KDSOM) any information they have regarding my character and fitness for (KDSOM). I agree to abide by the values, rules and regulations that govern the Kofi Danso School of Ministry (KDSOM) community, and I commit to uphold the commitment to this pledge with my signature.

Signature* Date*
Thank you for completing this application and expressing your desire to be apart of KDSOM.
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Application Requirements and