Page 57 - Revelation Message Christian Institute Catalog

CHURCH HISTORY

Please complete the following information listed below regarding your relationship with Jesus
Christ, the local church you attend, any positions or responsibilities you may be involved with to
support your church (Pastor, Praise and Worship, Teacher, Nursery, Helps, etc.), and any other
ministries you may support or be involved with; i.e. missions, evangelism, food banks, etc. Please
continue using additional paper if necessary.

DATE YOU RECEIVED JESUS CHRIST AS YOUR LORD AND SAVIOR.
HAVE YOU BEEN WATER BAPTIZED? DATE
NAME OF CHURCH YOU PRESENTLY ATTEND:
ADDRESS:
PASTOR’S NAME: TELEPHONE:( )
YEARS IN ATTENDANCE: POSITION or RESPONSIBILITIES:

NAME OF CHURCH or MINISTRY YOU HAVE ASSISTED AS A LABORER:
ADDRESS:

PASTOR’S NAME: TELEPHONE:
YEARS OF LABOR: POSITION or RESPONSIBILITIES:

NAME OF CHURCH or MINISTRY YOU HAVE ASSISTED AS A LABORER:
ADDRESS:
PASTOR’S NAME: TELEPHONE:
YEARS OF LABOR: POSITION or RESPONSIBILITIES:

I hereby state that all the information listed on this application is true and accurate as unto the
Lord as my witness. I hereby grant permission to Revelation Message Christian Institute to verify
all the information listed above. I further agree to and understand that any and all “Earned” Life
Credit Hours, Educational Credit Hours, and Ministry Credit Hours based upon this application
are granted at the discretion of Revelation Message Christian Institute. I hereby agree and
understand that I will complete all course requirements as unto the Lord Jesus Christ, and I will
comply with all Policies and Financial Commitments in pursuit of academic excellence in the Word
of God. Amen.

I hereby further understand that all the courses and degrees of Revelation Message Christian
Institute are of an ecclesiastical nature and, whether granted or conferred, are in the restricted
area of religion with the special purpose of preparing persons to work in the area of religion -
whether Educational, Ministerial, or Counseling - and are NOT designed to be used in general
academic circles.

APPLICANT’S SIGNATURE DATE

RMCI Catalog Appendix A A-5