EQUIP Fall 2022 Registration Form
Please fill out this form and click submit.
Personal Info
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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Your Church Name
*
Share Your WHY you are joining EQUIP (only the first time you register)
Your Study Goal
*
Please select one option.
Enrichment
Associates Degree
Batchelor Degree
Don't know yet
Select Option
Enrichment
Associates Degree
Batchelor Degree
Don't know yet
Class Schedule
Please find this semester's course schedule on our website.
What classes are you registering for:
*
Please select all that apply.
Monday - Pauline Epistles - Pastor Frank Bailey
Tuesday - Biblical Counseling Overview - Pastors James & Christina Weidner
OTHER
Class venue
*
Please select one option.
Reach Campus
Victory Campus
Online
Other
Select Option
Reach Campus
Victory Campus
Online
Other
Are you taking the above selected classes for Course Credit or Auditing? Please indicate which is for Credit & Audit:
*
Internship Application
Applying For Internship
*
Please select one option.
-
Yes
No
Maybe
Attach Pastoral Reference
Upload (8MB)
Desired Stream
Please select one option.
Full Time Ministry
Worship Leading
Part Time Ministry
Counseling
Church leadership
Don't know yet
Select Option
Full Time Ministry
Worship Leading
Part Time Ministry
Counseling
Church leadership
Don't know yet
How many Bible class credits have you completed?
*
Attach Transcript If Transferring
Upload (8MB)
Comments or questions
Payment Section
Payment
1 Class ($125)
2 Classes ($250)
Monthly Payments 1 Class ($25)
Monthly Payments 2 Classes ($50)
1 Class ($125)
2 Classes ($250)
Monthly Payments 1 Class ($25)
Monthly Payments 2 Classes ($50)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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