IPAW Student Application Form

Cell Phone(Required)

Home Phone

Email(Required)

Date of Birth(Required)

How long have you been a Christian?(Required)

How old were you when you first believed you were called into ministry?(Required)

In about 30 words or less, please tell us why you feel you are called into the ministry?(Required)

Church Name

Pastor's Cell Number

Church Office Phone

A Pastor’s recommendation in 30 words or less:

IPAW Student's Electronic Signature(Required)

By signing (manually or electronically) the applicant understands that failure to abide by the Bylaws of and Scriptural interpretations by ICCM may result in credential revocation. By signing with your electronic signature you agree that it has the same legal validity as if you were signing by hand. Please place your initials between two forward slash symbols: ex. /ABC/

Date(Required)

Pastor's Electronic Signature

By signing with your electronic signature you agree that it has the same legal validity as if you were signing by hand. Please place your initials between two forward slash symbols: ex. /ABC/

Date

Parent’s or Legal Guardian’s Electronic Signature

By signing (manually or electronically) the applicant understands that failure to abide by the Bylaws of and Scriptural interpretations by ICCM may result in credential revocation. By signing with your electronic signature you agree that it has the same legal validity as if you were signing by hand. Please place your initials between two forward slash symbols: ex. /ABC/

Date

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Comments

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