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Pentecost Biblical Seminary

PbSeminary Application Form

This is the Application form for Admission into PbSeminary, Wayne, New Jersey.

Step 1

First Name^*

Last Name^*

Email^*

Gender^*

Male Female

Gender

Contact Number ^*

Mobile number ,Home number . work number

Mailing Addres^*

Zip Code / Postal Code^*

Educational Information ^*

Date of Birth^*

Permanent Address^*

Yes No

Is Your current Address same as your mailing Address?

Program^*

Select Desired Program

Member of Church of Pentecost ^*

Any Disability ^*

Yes No

Will you need any accommodation?

Church's District ^*

Race Background ^*

American American Indian/Alaska Native Asian Black or African American Native Hawaiian or other Pacific Islander White Decline to Respond

Ministry Experience in COP^*

Apostle Evangelist Pastor Presiding Elder Financial Secretary Elder Deacon Deaconess Youth Leader Children Ministry Men's Ministry Women's Ministry Evangelism

Indicate your Service Role

Profile Image ^*

Please upload image file.

Military Background ^*

Yes No

Are you currently or serving in any branch of the US Army forces?

Military Dependent ^*

Yes No

Are you a Military dependent?

Marital Status ^*

Married Single Divorced Single Parent

Select your marital status

Country of Residency ^*

COP USA Region^*

Members of the Church of Pentecost Select Region of your District or Local

Certificates ^*

Attach highest Certificates attained

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