BACHELORS OF MINISTRY PROGRAMME APPLICATION FORM:

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Lifeline International Bible Training Center An Apostolic Prophetic Bible Training Center Imparting for over 35 years the How to s of Ministry And the things that thou has heard of Me among many witnesses the same commit thou to faithful men who shall be able to teach others also. 2 Timothy 2: 2 BACHELORS OF MINISTRY PROGRAMME APPLICATION FORM: 2015 Intake PERSONAL PARTICULARS BM II /2015 - Full Name: Name as according to IC or Passport Christian Name (if any): Name as to appear in Graduation Certificate: Address: Street Address Town/City Postcode State Home Phone No: Email Address: Mobile Phone No: Nationality: When were you saved? State the date Briefly state how you were saved? Can you speak in tongues? Yes No When were you filled with the Holy Spirit? State the date Are you suffering from any sickness? Yes No If yes, please state: Are you under prescribed medication? Yes No Do you have any allergies? Yes No If yes, please state:

FAMILY PARTICULARS Marital Status: Single Married Others (please specify) If single, are you called to celibacy? Yes No Lifeline International Bible Training Center Page 2 of 7 If married, how long are you married? No. of children: Ages of children: Is your spouse saved? Yes No Are your children saved? Have you been divorced? Yes No If yes, before or after you were saved? Before After EMPLOYMENT Occupation / Profession: Are you Self Employed or Employed? Self Employed Employed Current Employer: Position/Rank: Do you enjoy your present job? Yes No Are you looking for a new job? Yes No State your previous employer, if employed less than five years: Duration: Position: Do you see any conflict between your working and serving the Lord? Yes No If yes, briefly explain: Briefly explain your career objectives:

EDUCATION BACKGROUND Lifeline International Bible Training Center Page 3 of 7 Highest level of education achieved: Did you graduate? Yes No Certificates: Degrees: Special Awards: Names of Schools attended and years: School Name (Primary Tertiary): Years (From Year To Year) 1. 2. 3. 4. 5. 6. Have you attended special technical or training schools? Yes No If yes, please list the Programmes and Schools attended: Programmes: Names of Schools: 1. 2. 3. 4. 5. OTHER PARTICULARS What are your special skills? What are your special talents?

Lifeline International Bible Training Center Page 4 of 7 What are your favourite hobbies or interests? Number of languages you speak: List the languages you can speak fluently: List the languages you can speak moderately to a little: List the languages you can write fluently: Do you desire to learn new languages? Yes No If yes, state the languages: Have you travelled overseas? Yes No If yes, state the countries that you travelled? Which is your favourite part of the world? Do you like where you are living? Yes No If no, state where would you like to live: Whichpart of the world would you like to visit? Are you comfortable with people of other races and cultures? Yes No What is your favourite food? Would you be keen to eat other foods from different cultures? Yes No Are you called to the missions? Yes No

What area of the missions are you called? Lifeline International Bible Training Canter Page 5 of 7 Which particular people groups are in your heart to minister? Which are the countries are in your heart that you would like to minister? Do you play any musical instruments? Yes No If yes, state the instruments: List all the Christian training and education that you have received: Whichpart of the world would you least likely to go? Are you called to the ministry? Yes No Which office are you called for? Have you had a vision of your ministry? Yes No If yes, briefly describe the vision: Are your immediate family members in agreement with your going into the ministry? Yes No In case of emergency, name the persons to contact: Person 1: Person 2: Name: Contact: Address: Relationship:

HAVE YOU DONE THE FOLLOWING? Lifeline International Bible Training Canter Page 6 of 7 Please tick where appropriate: Preached Publicly Passed Out Tracts Worked With Drug Addicts Taught Publicly Witnessed Fed The Poor Gave Testimony Ministered Salvation Served In The Children s Church Healed The Sick Ministered Baptism Of The Holy Spirit Sang Publicly Cast Out Devils Went On A Mission Trip Worked In Church/ Ministry Administration Are you currently serving in your local church? Yes No Which area of ministry? Do you see any conflict in attending all the classes and activities that is required in this programme with your: Church Employment Family Yes Yes Yes No No No DECLARATION I declare that the above information provided by me in connection with this application is true and correct. I understand that Lifeline International Bible Training Center reserves the right to withdraw the offer of admission or ask me to leave the Center at any time if such information is found to be false or incorrect. Applicant s Signature Date 1. Application Form must be submitted with the following: a. Registration Fee of RM200.00 (non-refundable). Cheque payable to: LIFELINE HARVEST CHURCH BERHAD b. A copy of IC (for Malaysian applicant) or Passport (for non-malaysian applicant) c. A copy of the HIGHEST LEVEL OF EDUCATION CERTIFICATE d. Three passport size photographs 2. Application Form must be FULLY COMPLETED for consideration. Incomplete Form will NOT be considered. LAST DAY TO SUBMIT THE APPLICATION FORM IS ON: SEPTEMBER 13, 2015

FOR OFFICE USE ONLY Lifeline International Bible Training Center Page 7 of 7 DATE RECEIVED: APPLICATION FORM STATUS: COMPLETE INCOMPLETE ATTACHMENTS: REGISTRATION FEE: REMARKS COPY OF IC / PASSPORT: REMARKS COPY OF HIGHEST LEVEL OF EDUCATION CERTIFICATE REMARKS APPLICATION APPROVAL: ACCEPTED REJECTED BACHELORS OF MINISTRY APPLICATION RESPOND SLIP / REGISTRATION FEE RECEIPT REGISTRATION FEE RECEIPT NO.: BMII/2015 - Your application is under consideration. You will be contacted once your application is approved. You may be called for an interview. Upon approval, payment of Term 1 Course Fee must be made. The last day to make payment for Term 1 is by October 5, 2015 Thank you. LIFELINE INTERNATIONAL BIBLE TRAINING CENTER LOT 5, JALAN 51A/221, 46100 PETALING JAYA, SELANGOR D.E, MALAYSIA TEL: 603-79572887 FAX: 603-79562887 EMAIL: admin@lifeline-intl.org WEBSITE: www.lifeline-intl.org