Please PRINT and complete BOTH PAGES of this application. Thank You! Click here to download this Registration Form as a File (.rtf format) Carolinas School of the Ministry Please PRINT and complete BOTH pages of this form and send it in with your registration fee to ensure your registration. Some of the information below is personal and you may choose to withhold it; but we request it for statistical purposes. None of the information will affect your admission to any programs or your relationship to CSM. Carolinas School of the Ministry seeks to avoid discrimination on the basis of race, color, disability, gender, and national or ethnic origin in the administration of its educational policies, admissions policies, and educational programs. Name__________________________ Age ____________ Phone ___________________ Address ________________________________________ City _________________ State _____ Zip ________ E-mail ________________________ STUDY TRACK: q Elder q Deacon CE q Deacon Music q Deacon Youth q Other ________ MINISTRY GOAL: q Pastor q Evangelist q Music q Youth q Other CULTURE (please check one) NOTE: CSM does not discriminate based on race, gender or age. This information is for statistical data only. q African American q Black, original country: ____________________ q Caucasian q Filipino q Hispanic, original country: ___________________________ q Native American q Asian, original country:_______________________ q Other: ______________________________ Are you currently serving as a pastor or paid staff in a local church? q Yes q No If yes, please circle one of the following: Pastor Associate Youth Music Children Other Marital status ________________________ Number of children living at home ___________ Employer ________________________________________________________________________________ Church Affiliation _________________________________________________________________________ Signed ____________________________________________________ Date _________________________ YOUR REGISTRATION AND PAYMENT MUST BE POSTMARKED BY August 1, 2010 TO RECEIVE YOUR TUITION DISCOUNT
CAROLINAS SCHOOL OF THE MINISTRY 2010 Fall Course Registration Form Name _________________________ E-mail ___________________________ Address _______________________________ City/ST/Zip _________________ INSTRUCTIONS Place a check in the box beside the title of the course(s) for which you are enrolling Include a check or money order for tuition and registration fee: $160 per class if paid in full & postmarked before 8/1/10 (waive reg. fee) $175 per class if postmarked after 8/1/10 plus $10 registration fee. Registration and payment DEADLINE: First day of class or Sep 1, 2010 whichever comes first. Students will be contacted via e-mail concerning textbooks and other necessary information prior to the first class meeting. ALL classes begin at 6 pm on the first Friday evening session. All other times shall be agreed upon by the students and professor according to professor's approved syllabus.
q Biblical Hermeneutics q Nazarene History & Polity Prerequisites: None Prerequisites: None Aug 20-21, Sep 24-25, Oct 22-23 Sep 3-4, Oct. 1-2, Nov 5,6 Instructor: Dr. Larry E. Wagner Instructor: Rev. Matt Roberts Location: Charlotte Trinity Location: North Raleigh Church q Intro to Christian Education q Doctrine of Holiness Prerequisites: None Prerequisites: Sys. Theo. 1 & 2 Sep 10-11, Oct 8-9, Nov 12-13 Sep 17-18, Oct 15-16, Nov 19-20 Instructor: Rev. Milt Harrington Instructor: Rev. John Powell Location: Greenville, SC First Church Location: SC District Campground Enclose check or money order with this form: Tuition prior to 12/10/09 $160 X _______ (# of courses) = ______ Late Registration Tuition $175 _____ (# of courses) = ________ MAIL TO: Carolinas School of the Ministry, c/o Dr. Larry E. Wagner, 10734 Mountain Springs Drive, Charlotte, NC 28278 |
