(Print this Form)
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CCNA SCHOOL of the BIBLE |
CCNA STUDY CENTER
ENROLLMENT APPLICATION
Instructions: Please complete this application and mail it to
the above address with your full payment for each student's course
and book(s). Include postage.
Please submit one enrollment application for EACH COURSE.
NOTES: 1. Pastors call for special incentives offered for Study Centers with 10 or more students.
2. Each student must also submit a completed Individual Enrollment Application.
(PLEASE PRINT OR TYPE)
| Church or Study Center Name: | __________________________________________________________ |
| Address: | __________________________________________________________ |
| City/ST/Zip: | __________________________________________________________ |
| Phone: | __________________________________________________________ |
| Pastor or Instructor: | __________________________________________________________ |
| Course: | 710- _______ Name: ________________________________________ |
|
STUDENT NAME |
STUDENT NAME |
||
| 1. | __________________________ | 11. | __________________________ |
| 2. | __________________________ | 12. | __________________________ |
| 3. | __________________________ | 13. | __________________________ |
| 4. | __________________________ | 14. | __________________________ |
| 5. | __________________________ | 15. | __________________________ |
| 6. | __________________________ | 16. | __________________________ |
| 7. | __________________________ | 17. | __________________________ |
| 8. | __________________________ | 18. | __________________________ |
| 9. | __________________________ | 19. | __________________________ |
| 10. | __________________________ | 20. | __________________________ |
(PLEASE USE SEPARATE SHEET FOR ADDITIONAL NAMES)