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AZUSA Ministry Training Institute Degree Application

AZUSA Ministry Training Institute Degree Application

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AZUSA World Ministries Ministry Training Institute Degree Student Enrollment Package
AZUSA World Ministries Ministry Training Institute Degree Student Enrollment Package

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10/04/2011

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AZUSA World Ministries Training InstituteDegree Student Enrollment Package
Application
Program of Choice / Fee Schedule
Accreditation Signature Page
Resume / Portfolio Guidelines
Transcript Request Form
Automatic Credit Card Billing authorization Form
 Please be sure to fill out the entire packet in and send back 
 
 
 
 New Student 
 Returning Student 
 AZUSA Member 
 Non-Member 
Program Option:
On-Campus
CD
DVD
On-Line
Confidential Information:
Gender 
:
Male
Female
 Salutation:
 Mr.
 Mrs.
Miss.
 Ms.
 Jr.
 Sr.
 I 
 II.
 III.
Name: _________________________________________________________________________________________ (
First) (Middle) (Last)
Social Security Number:
(Degree Student Only)
 
 _________/_________/_____________ 
Citizen of: __________________________________________________ Date of Birth
 _______/_______/_________ 
Mailing Address: ________________________________________________________________________________ 
 
(City) (State) (Zip
)
Telephone: ( ) ______________________ 
 
( ) ______________________ ( ) ______________________ 
(Home) (Work) (Cell)
 Email address
: ___________________________________________________________________________________ Emergency Contact Name: __________________________________Telephone: ( ) ______________________ Marital Status:
Married
Single
Separated
Divorced
WidowIf applicable Name of Spouse:______________________________________________________________________ (
First) (Middle) (Last)
Is English your Primary Language:
Yes
 No Please list the Names and relationship of any students who have attended or are attending MTI.1. ____________________________________________________ Relationship: _____________________________2. ____________________________________________________ Relationship: _____________________________3. ____________________________________________________ Relationship: _____________________________
Mail / Return your application to:5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
2
 
Briefly explain why you want to attend MTI: _________________________________________________________  ________________________________________________________________________________________________  ________________________________________________________________________________________________  ________________________________________________________________________________________________  ________________________________________________________________________________________________  ________________________________________________________________________________________________  ________________________________________________________________________________________________  ________________________________________________________________________________________________  ________________________________________________________________________________________________  ________________________________________________________________________________________________ What do you feel is your call?
Apostle
Prophet
Teacher
Evangelist
Pastor
Ministry of HelpsList the Church you currently attend: _______________________________________________________________ How did you hear about MTI?
MTI Testimony
Radio
TV
Newspaper
another Student
Visit to Azusa
Word of mouth
Church member
other: ___________________ MINISTRY TRAINING INSTITUTE is supported by free will offerings and Committed Partners.
 
Yes, I will be a financial and prayer partner with Dr.’s Alfred & Beverly Craig, and in support of theirvision of MTI to Train Ministers and those called to Ministry of Helps to establish churches throughout Arizona,the United States and the World.I will become a:
Gold Partner (2year commitment)
Platinum Partner (4 year commitment)My Monthly commitment is:
$5.00
$10.00
$20.00
$50.00
Other ______________________ Signature___________________________________________________ Date ________/_________/_____________ 
Mail / Return your application to:5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
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