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Destiny House - Alaska
PH: 800-407-1733
Destiny Ministry Training Center
Online Application
2018
*
Indicates required field
Name
*
First
Last
Home or Mailing Address Please
*
Line 1
Line 2
City
State
Zip Code
Country
Please give a physical or mailing address. Thank you!
US Citizen?
*
Yes
No
Other
Marital Status
*
Single
Married
Engaged
Divorced
Separated
Re-Married
Widow
Widower
Gender
*
Male
Female
Minor children or dependents?
*
0
1-3
4-6
7-10
10+
Email Address
*
This is the primary way we will contact you, so make sure this is a working email address! Thanks.
Home Number
*
Cell Number
*
This is important. Just in case we need to call about an instructor or class! Thanks.
Work Number
*
Date of Birth
*
You're Young and Beautiful - or handsome!!
Age
*
Dependents, if applicable:
*
For example, if you have adult children living with you, parents, friends, foster children, or other persons you provide care.
SPOUSAL AND FINANCIAL INFORMATION
Name of spouse or fiancé please:
*
Kindly, will your spouse or fiancé be attending school with you?
*
Yes
No
Possible
Still praying about it
Is your spouse or fiancé in agreement with you attending school?
*
Yes
No
I would like him/her to be
Prayerfully considering
Date of most current marriage please:
*
Are there any family obligations that would hinder regular attendance, or fulfilling tuition responsibilities? If so, please explain:
*
Previously married?
*
Yes
No
If yes, how many times please?
*
Date of last divorce?
*
Number of children from previous marriage?
*
Do you pay allimony to a previous spouse?
*
Yes
No
EDUCATIONAL AND OCCUPATIONAL HISTORY
Primary and Secondary Education (please choose one):
*
Elementary only
Elementary and Jr. High only
High School Graduate
GED
Vocational/Technical Training Completed:
*
1 Year Completed
2 Years Completed
Other
Starting with your current employer, please list your employment history:
*
College/University Education:
*
No College Experience
Currently Enrolled
Some College Experience
1 -2 Years Completed
3+ Years Completed
College Graduate
Graduate School
Doctorate
Other
Please list all earned degrees:
*
Please list all educational institutions you have attended:
*
Please list any trained vocational or professional skills:
*
FINANCIAL INFORMATION
Please, how do you intend to pay for tuition at DMTC / Praxis Academy?
*
Please choose your payment option (choose one):
*
Option 1: $999 FULL PAYMENT
Option 2: $333 TRIMESTER PAYMENT
Option 3: $111 MONTHLY PAYMENT
Option 4: $800 FAMILY DISCOUNT (2 or more family members)
Other arrangement
Please explain your current financial situation:
*
DMTC / Praxis Academy does not provide childcare services. Is this ok?
*
Yes
No
I understand, and need help finding childcare
CHURCH AFFILIATION AND REFERENCES
What denomination were you raised in?
*
What is your current denomination?
*
Please email a reference letter from the two (2) references listed below to:
dmtc@destinyhouseministries.org
(reference letters are
REQUIRED
).
What is the name of the church you currently attend?
*
What is the name of the pastor of your current church?
*
Are you an active member?
*
Yes
No
Personal Reference Information
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Minister Reference Information
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
YOUR MINISTRY EXPERIENCE
Approximate date you were born again:
*
Are you currently (choose one):
*
Licensed
Ordained
Neither
If you selected either of the first two options, please list the ministry affiliation(s):
*
Have you ever had a license or ordination revoked (foreign or domestic)?
*
Please select all areas of ministry that God has called you:
*
Pastoral (teaching, preaching, counseling, assistant pastor)
Evangelism (missionary, street ministry, feed/clothe poor, prison outreach)
Creative (music, drama, dance, media, writing, design, production)
Behind the Scenes (helps, prayer, organization, ushering, cleaning)
Five-Fold Ministry
Still Seeking God / Unknown
Other
Please explain why you believe God has called you concerning the above:
*
Please select what year you are applying for:
*
1st Year
2nd Year
3rd Year
Post Grad
Alumni
In a few words, please explain your salvation experience:
*
Are you currently serving or volunteering in your current church?
*
Yes
No
In another church
If applicable, please explain why you are not serving in your current church:
*
Why do you want to attend DMTC /Praxis Academy?
*
EMERGENCY CONTACT INFORMATION/MEDICAL CONSENT
Emergency Contact
*
Name
*
First
Last
Emergency Contact Number
*
Alternate Contact Number
*
I hereby grant permission to the DMTC / Praxis Academy Staff and Official Representatives to render to me and/or authorize any and all EMERGENCY MEDICAL TREATMENT as they deem necessary in the event that I am in need of such treatment. I therefore release DMTC / Praxis Academy, it's Staff and Official Representatives from all liabilities in the event of an emergency. By typing my name below, I am signing my name in agreement to this Medical Consent Release form.
Please type your name and date:
*
Submit
Home
Service Times
Who We Are
Sr. and Assistant Pastors
Missions
Volunteer
>
DH Volunteer Application
Departments
Toddler's Ministry
>
Babes & Tots Registration
Children's Church
>
Kids Registration
Youth Ministry
>
Registration
Youth Registration Form
Youth Event Registration
Young Adults
>
Young Professionals Connection
College Students Registration Form
Families
>
Families Connection
Singles
Men's Ministry
Glam Girls (Women's Ministry)
Events
Weddings
Events
>
Email Request
New Member Classes
>
Registration Form
Mid-Week Bible Study
Intercessory Prayer
Production
Dancers
>
Dance Registration Form
Acting
>
Actors/Actresses Registration Form
Vocals
>
Vocals Registration Form
Musicians
>
Musicians Registration Form
Production/Media
>
Production/Media Registration Form
Live Broadcast
Give Online
Contact Us
Destiny Ministry Training Center
About
>
Online Application
DMTC Staff and Admin
Videos/Promos
Brochure
Post Grad Classes
Alumni
>
Alumni Membership Application Form
Destiny House - Alaska
