New account

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Choose your username and password

Username

The password must have at least 8 characters, at least 1 digit(s), at least 1 upper case letter(s), at least 1 special character(s) such as as *, -, or #

Password

More details

Email address

Email (again)

First name

Surname

City/town

Country

Christ College Application Fields

Address

Address Line 2

City

State

Zip Code

Phone Number

Gender

Are you Married?

Spouses Name? (First and Last)

Citizenship

Other

Foreign Visa Type

Emergency Contact

Emergency Contact Name

Emergency Contact Phone Number

High school graduate or equivalent?

Yes

Other

Name of School

Year you graduated?

Have you ever attended this school?

Yes

College Graduate?

Yes

Other

Where?

What Year?

Other colleges, schools, training... (optional)

Spiritual Information

When were you saved?

Were you water baptized?

Yes

Other

What is your stance on the Baptism of the Holy Spirit?

What is your stance on the Gifts of the Holy Spirit?

Church Home

Your Church Home?

Name of your pastor? (First and Last name)

Spiritual Profile

Are you living a consistent Christian life?

What Christian ministries have you been or are currently involved in?

I have completed Christianity 101

I have attended a DestinyLife Encounter Retreat

I have completed Discipleship 201

I have completed Spiritual Formation 301

I have completed Foundations of Doctrine 401

Other

References

Pastoral Reference (First and Last name)

Church Name

Pastoral Reference Phone Number

Church Address (Address Line 1)

Church Address (Address Line 2)

City

State

Zip Code

Personal Reference

Personal Reference Name

Personal Reference Phone Number

Personal Reference Address (Line 1)

Personal Reference Address (Line 2)

City

State

Zip Code

Digital Signature

Digital Signature (type full name)

There are required fields in this form marked .