Online Registration - Women's Ministry Institute

ONLINE REGISTRATION
* - denotes a required field

Contact Information
First Name: *		Last Name: *
Address:
City: *
Postal Code: *		Prov: *
Phone: *		Fax:
Email address: *
Denomination:		Church:
Registration Fee : (A one-time registration fee of $40.00 must accompany each application)

Payment Options : * (please indicate which payment plan you will follow:)

	Annual Tuition of $1375.00 (7 modules) due every September.
	Pay Per Module - $199.00 to be submitted on or before each module's class date. The first payment is due September.

About You:
1.) What prior school/training have you had? List any schools (with majors and degrees) and also include any workshops, symposiums or seminars you have attended.

2.) List the various ministries you've been involved in on a local church or district level.

3.) Your faith journey or testimony (please keep to under 200words).

Tell us where you heard about WMI: *
Website Brochure Personal Contact Church Alumni Conference
Other

Tell us why you wish to be a student of the Women's Ministry Institute: *

Please provide 2 references. (we recomend that one be your pastor) : *
1: Name: Phone: email:

2: Name: Phone: email:

Would you like to receive updates from WMI?: *
Mail Email

Would you like access to online prayer requests (prayer link)?*
Yes
No


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