Canadian Church of God Ministries

Canadian Church of God Ministries RMC Application
Personal Information
Full Name *

First Name Last Name
Birth Date *

Month Day Year
E-mail *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Gender *
Citizenship *
Is your first language English? *

Yes No
How did you hear about RMC? *
Course Selection
Select from the drop down list *
Please select one: *

For Credit (Earn credit toward a program) Continuing Education (Audit/Personal Enrichment) Professional Development (Additional Requirements) Visiting Student form another institution (Transfer credit to another institution)
Upload your Government issued ID information here *
Please sign, acknowledging that the information above is true and accurate. When you submit this form a copy of it will be sent to the Canadian Church of God Ministries Office. *
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Canadian Church of God Ministries RMC Application