FLORIDA BIBLE INSTITUTE

CHALLENGE MINISTRIES INTERNATIONAL
JACKSONVILLE, FLORIDA

APPLICATION FOR ENROLLMENT

Application is hereby made to enroll in the Florida Bible Institute, a ministry of Challenge Ministries International, P. O. Box 32344. Jacksonville, Florida 32237.

Please complete as much information as possible. Upon completion, click the Submit button.

NOTE: You must use a Javascript-enabled browser in order for this form to work properly.

Basic Information
Last Name:	(Required)
First Name:	(Required)
Middle Name:
Date of Birth:
Age:
Marital Status:	Married Single
Gender:	Male Female

Current Mailing Address
Address: (Required)

Education
Years of School Completed:
Highest Degree Earned:
Name of Last School Attended:
Address:

Current Church
Name of Church:
Address:
Pastor's Name:
Denomination/Religious Order:
Current Position in the Church:

Spiritual Background & Experience
Briefly describe your conversion experience:

Briefly describe what you feel to be the "call of God on your life":

Briefly describe why you are enrolling in this course of study:

Application Agreement
I understand that there are no enrollment fees, no admission fees, nor charges of any kind for this course of study. I understand that Florida Bible Institute reserves the right to drop me from this course of study based on my non-performance or unsatisfactory performance. I understand a certificate of completion will be awarded me upon satisfactorily completion of the course. I certify all information given is true and correct to the best of my knowledge and belief.
Your Email Address: (Required)

FLORIDA BIBLE INSTITUTE

CHALLENGE MINISTRIES INTERNATIONALJACKSONVILLE, FLORIDA

Basic Information

Current Mailing Address

Education

Current Church

Spiritual Background & Experience

Application Agreement

CHALLENGE MINISTRIES INTERNATIONAL
JACKSONVILLE, FLORIDA