NSSM Student Registration
Student Application - February 4th Start Date
Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Phone
*
Gender
*
Please select all that apply.
Male
Female
Current Church
Do you attend church regularly?
*
Please select all that apply.
Yes
No
Home Church:
*
Did you finish the School of Biblical Foundations?
*
Please select all that apply.
Yes
No
Statement of Purpose
Give a brief description of your Christian experience (how you came to know the Lord, and your present walk with the Lord).
*
Your church history (briefly give a history of your church attendance and involvement).
*
Briefly explain why you want to attend NewDay school of Supernatural Ministry.
*
What are you most excited to learn about?
*
What subjects do you feel you will grow in the most?
*
Payment ($200 - Special Price for Monthly Tithers of $25 or more)
Pre-Arranged Payment Plan Amt ($0)
Student ($400)
Tither Discount Price ($200)
Pre-Arranged Payment Plan Amt ($0)
Student ($400)
Tither Discount Price ($200)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Student Application - February 4th Start Date
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