Category: Applications & Forms Published: 10 January 2013 Hits: 13658 00 - Application for Reinstatement International College of Ministry International Office: 5631 Gilliam Rd., Orlando, FL 32818 Mailing Address: 311 Saint Dunstan Way, Winter Park, FL 32792 www.icmcollege.org This email address is being protected from spambots. You need JavaScript enabled to view it. 321-837-9894 Application for Reinstatement Fields marked with (*) are required fields. Campus or Online Director (if known) Invalid Input Name:(*) Invalid Input Maiden or Previous Name: Invalid Input Social Security:(*) Invalid Input Date of Birth(*) ... Invalid Input Gender:(*) Gender:MaleFemale Invalid Input Date of Application(*) ... Invalid Input Address:(*) Invalid Input City:(*) Invalid Input State:(*) ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYNONE - Not in U.S. Invalid Input Zip Code:(*) Invalid Input Cell Phone: Invalid Input Home Phone: Invalid Input Email Address:(*) Invalid Input Program to Reinstate:(*) Program to Reinstate:Associate of Arts in Ministry*Bachelor of Arts in Christian CounselingBachelor of Arts in Ministry*Bachelor of Arts in TheologyMaster of Arts in Christian Counseling (requires BA degree to enroll)Master of Arts in Ministry* (requires BA degree to enroll)Master of Arts in Theology (requires BA degree to enroll)Doctor of Christian Counseling (requires MA degree to enroll)Doctor of Ministry* (requires MA degree to enroll)Doctor of Theology (requires MA degree to enroll)Doctor of Divinity (requires MA degree to enroll)Doctor of Philosophy in Christian Counseling (requires MA degree to enroll)Doctor of Philosophy in Ministry* (requires MA degree to enroll) Invalid Input Please explain what happened with you when you were previously enrolled and why you wish to be re-enrolled.(*) Invalid Input These degrees are of a strict ecclesiastical nature intended for the work of Christian Ministry. I have read and understand the above statement. Applicant's Electronic Signature:(*) Invalid Input Date Signed(*) ... Invalid Input After you click "Submit Application," you will be automatically taken to PayPal to process your $25 USD application fee. Application Fee Invalid Input 0.00 USD Invalid Input For Security, Please Complete this CAPTCHA Form to Show You are Not a Computer.(*) Invalid Input Submit Application Application Fee Application Fee - 25.00 USD
