The Institute of Theology and Ministry Training
P. O. Box 608505 ● Orlando, FL 32860 ● (407) 292-9922
APPLICATION FOR THE ASSOCIATE DEGREE PROGRAMS
1) Use a pen, complete and sign All Sections
2) Mail the completed Application to: The Institute of Theology and Ministry Training
P. O. Box 608505, Orlando, FL 32860
3) Enclose your Tuition Payment of $850 with Application. ($50 is a non-refundable Registration Fee)
4) Make check payable to: The Institute of Theology and Ministry Training. Or, download, complete
and attach the Credit Card Authorization Form
(All information provided is kept confidential by The Institute)
Last Name:___________________________First Name: ____________________ Initial: ________
Address:________________________________________________________________________
City: _________________________________State: ___________________ Zip:________
Daytime Number: ( ) _______________________________
Evening Number: ( ) _______________________________
Work Number: ( ) _________________________________
Date of Birth: Mo. ____/____ Day ____/____ Year __________
Sex: Male [ ] Female [ ] Social Security Number: _________________________________
Race: [ ] White [ ] Black [ ] Hispanic [ ] Asian [ ] Other _____________________________
U.S. Citizen? [ ] Yes [ ] No Are you employed? [ ] Yes [ ] No
Occupation:___________________________________________________________________
Name of Church:_______________________________________________________________
Church Address: _______________________________________________________________
City: ________________________________State: __________________ Zip: ________
Church Number: ( ) ________________________________
Church Denomination: _________________________________________________________
Current Ministry Status: [ ] Pastor [ ] Assistant Pastor [ ] Evangelist [ ] Missionary [ ] Youth
Minister [ ] Deacon [ ] Other ____________________
Notice to Applicant: The Institute of Theology and Ministry Training does not employ recruiters or
partner with recruitment agencies for student enrollment either in person, by mail, telephone, e-mail
solicitation or the Internet.
All Rights Reserved. No part of this application may be duplicated in any form or by any means, nor can the
contents of these pages by distributed in whole or in part.
P. O. Box 608505 ● Orlando, FL 32860 ● (407) 292-9922
APPLICATION FOR THE ASSOCIATE DEGREE PROGRAMS
1) Use a pen, complete and sign All Sections
2) Mail the completed Application to: The Institute of Theology and Ministry Training
P. O. Box 608505, Orlando, FL 32860
3) Enclose your Tuition Payment of $850 with Application. ($50 is a non-refundable Registration Fee)
4) Make check payable to: The Institute of Theology and Ministry Training. Or, download, complete
and attach the Credit Card Authorization Form
(All information provided is kept confidential by The Institute)
Last Name:___________________________First Name: ____________________ Initial: ________
Address:________________________________________________________________________
City: _________________________________State: ___________________ Zip:________
Daytime Number: ( ) _______________________________
Evening Number: ( ) _______________________________
Work Number: ( ) _________________________________
Date of Birth: Mo. ____/____ Day ____/____ Year __________
Sex: Male [ ] Female [ ] Social Security Number: _________________________________
Race: [ ] White [ ] Black [ ] Hispanic [ ] Asian [ ] Other _____________________________
U.S. Citizen? [ ] Yes [ ] No Are you employed? [ ] Yes [ ] No
Occupation:___________________________________________________________________
Name of Church:_______________________________________________________________
Church Address: _______________________________________________________________
City: ________________________________State: __________________ Zip: ________
Church Number: ( ) ________________________________
Church Denomination: _________________________________________________________
Current Ministry Status: [ ] Pastor [ ] Assistant Pastor [ ] Evangelist [ ] Missionary [ ] Youth
Minister [ ] Deacon [ ] Other ____________________
Notice to Applicant: The Institute of Theology and Ministry Training does not employ recruiters or
partner with recruitment agencies for student enrollment either in person, by mail, telephone, e-mail
solicitation or the Internet.
All Rights Reserved. No part of this application may be duplicated in any form or by any means, nor can the
contents of these pages by distributed in whole or in part.
| Page 1 |
 |
 |
 |
 |
 |