Application Form

Welcome to the HIS Publishing Company application for the Kingdom Life Curriculum. Please complete all sections of this form accurately. Applications must be submitted using this survey information.

A $35 application fee will be required and will be collected on the next page after you submit your completed application.

Personal Information

Full Name *

Date of birth *

Email *

Phone *

Address

Street Address

City

State

Country

Postal code

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Academic & Professional Information

High School *

High School Name and Graduation Year

College *

College/University (if applicable) and Graduation Year

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Other Religious/Ministry Experience

(Provide a brief description)

Personal Statement

Statement of Faith (Please provide a thoughtful and genuine reflection on your personal beliefs and spiritual journey. Minimum 150 words.)

Your Statement of Faith *

References

Please provide the contact details for two references who can speak to your character, faith, and potential for success in theological studies:

1st Reference *

Full Name, Email Address, Phone Number

2nd Reference *

Full Name, Email Address, Phone Number

Emergency Contact Information

Emergency Contact's Name *

Emergency Contact Relationship to You *

Relationship to You

Emergency Contact's Phone Number *

Emergency Contact's Email *

Agreement to Code of Conduct

Before submitting, review the Academy’s Code of Conduct Click Here

Confirm your agreement by checking the box below. *

I have read, understood, and agree to abide by the Academy's Code of Conduct.

Applicant’s Certification

By signing below, you certify that all information provided is accurate and truthful to the best of your knowledge.

Signature

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Date Signed