Training Academy Enrolment Form

Training Academy Enrollment Form

First Name

Last Name

Phone

Email

Date of Birth

Ethnicity

Gender

Male

Female

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Proof of identity (e.g. birth certificate, Passport etc.)

Choose File

Name of your Church Leader/Pastor

Church Address

Church Name

City

Postcode

Country

Has your church leader referred you to us?

Yes

No

No, but hoping to be referred

Which membership do you want to subscribe to? (Tick 1)

Association of Mentors

Council of Prophetic People

Intercessors Coalition

Tell us why you would like to study under this membership?

Anticipated Start Date

Who be paying the Training Academy fees?

My Church will be paying

My Church & Myself

I will be paying it myself

I’m unsure

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