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Elohim Bible College & Seminary Student Registration
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Personal information
First Name
Last Name
Address
City
State
Zipcode
Home Phone
Work Phone
Cell Phone
Email Address
Date of Birth
Gender
Male
Female
Selected Degree Program
Choose a program
Bachelor of Biblical Studies
Bachelor of Biblical Theology
Bachelor of Christian Counseling
Master of Biblical Theology
Master of Christian Counseling
Master of Ministry
Education background
How long have you been a Christian?
Year finished High School
Which did you receive?
Diploma
GED
Did you attend college?
Yes
No
If yes, how many credit hours completed?
Degree Earned?
Name of college or university
Degree Type
Start Date
Finish Date
Other Schools Attended
Military service
Branch
Army
Navy
Air Force
Marines
Coast Guard
Space Force
Reserves
National Guard
Date Joined
Date of Discharge
Grade/Rank
Type of Discharge
Honorable
Other than Honorable
Retired
Describe your job/MOS
Ministry background
Are you a licensed minister?
Yes
No
Year Licensed
Are you commissioned?
Yes
No
Year Commissioned
Are you ordained?
Yes
No
Year Ordained
Denominational affiliation?
What is your current occupation?
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