COURSE REGISTRATION NAME (required) EMAIL (required) WHATSAPP ENABLED NUMBER GENDER MaleFemale MARITAL STATUS SingleMarriedMarried with children LEADERSHIP ROLE Choose the role that best describes you(even if you fit into more than one category). Born Again ChristianPastor/ Co-Pastor/ Pastors wifeLeader in a church/ MinistryFounder of a MinistryEntrepreneur / Career ProfessionalMissionary in the fieldsJust said yes to the call of ministry PREFERRED STUDENT TRACK OnlineOnsite SALVATION & CHRISTIAN FAITH Are you Born Again? Based on Romans 10:8-10? YesNo How long have you been born again? Are you baptized in the Holy Spirit with the evidence of speaking in tongues? YesNo CHURCH Where do you worship? (Name of Church & Address) Do you serve in your local assembly? If yes, how long have you served? State unit(s) of service/leadership in local assembly e.g Choir REFERENCE Please provide the name and email address of your Pastor, Spiritual Leader or Mentor If you have none of the above, kindly state why?