GHMIM Bible College Online Application STEP 1Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastAddress *City, State, Zip *Phone *Email *EmailConfirm EmailDo you have access to the internet? *YESNOIf 'YES' which device:PC / LaptopSmart PhoneBoth, PC / Laptop & Smart PhoneAre you a citizen of the United States? *YESNOIf 'NO', are you authorized to work in the U.S.?YESNOWhat church and leadership are you affiliated with? *Do you hold a position in your church? *YESNOIf 'YES', what position?Have you ever been convicted of a felony? *YESNOIf 'YES', explain:High School: *Address: *From:To:Did you graduate? *YESNODiploma:High School Diploma, GED, etc.College:Address:From:To:Did you graduate?YESNODegree:Associates, Bachelors, Masters, etc. in what?Other:Apprentice, Vocational, etc.Address:From:To:Did you graduate?YESNODegree:Military Service Branch:From:To:Rank at Discharge:Type of Discharge:If other than honorable, explain:I certify that my answers are true and complete to the best of my knowledge. *FirstMiddleLastSignatureDate: *Date of SignatureNameSubmit STEP 2 GHMIM Bible College Registration Registration Fee (Individuals) $65.00 USD Registration Fee (Couples) $100.00 USD Per Class $75.00 USD
