Apply today for our next session Application Student Application 1Personal Information2Employment & Education3Church & Ministry4References5Disclosures & Payment Statement of Non-discrimination In compliance with Federal and State regulations, Western Ministry Institute admits students of any race, color, national or ethnic origin, disability, status as a veteran or any other characteristic protected by law to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. Western Ministry Institute does not discriminate on the basis of race, color, national or ethnic origin, disability, or status as a veteran in the administration of its educational and admission policies, scholarship and loan programs, or other institute-related programs.Personal InformationIndicate your desired enrollment status:(Required) Credit Student Audit Student Do you plan to pursue Foursquare licensing?(Required)NOTE: The licensing process, evaluation of candidates, and awarding of licenses is completed in conjunction with approval of your pastor and in accordance with Foursquare licensing policies. Yes No Uncertain Student Name(Required) First Last Mailing Address(Required) Street Address Apt/Suite # City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code Phone Number(Required)Email Address(Required) Date of Birth(Required) Month Day Year Gender(Required) Male Female Marital StatusWhat is your current Marital Status(Required) Single Married Divorced Does your spouse support your decision to enter this program?(Required) Yes No Please Explain(Required)EthnicityAs a non-profit organization, Western Ministry Institute is required by law to report the ethnic composition of a classroom. Names and other personal information are not included in these reports. Indicate the category that best describes your ethnicity:(Required)Select OptionAfrican American/BlackAsianCaribbeanCaucasianHispanicMiddle EasternOtherDecline to answerOther(Required) EmploymentAre you currently employed or will be employed while you attend the program?(Required) Yes No Name of Employer(Required) Title/Role(Required) How many hours per week will you be working?(Required)EducationWhat is your highest completed level of education?(Required) High School/GED Some College/University Undergraduate Degree Graduate Degree List Post-Secondary Education(Required)Use the "+" icon to add more rows.Name of InstitutionMajorYear EnrolledYear GraduatedDegree Add Remove Church AffiliationName of Church(Required) Church Address(Required) Street Address Apt/Suite # City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code I affirm that I am a current member of this church with good standing.(Required) I affirm How long have you been attending this church?(Required) Name of lead/senior pastor(Required) First Last Ministry InvolvementWestern Ministry Institute encourages all our students to be involved in ministry in their local church and /or a para-church ministry. Involvement in ministry is not required for admission but students are asked to become involved during their time in this program.What type of ministry do you currently serve in?(Required) I serve within my church ministry I serve in a para-church ministry (outside the church) I am currently not serving in a ministry Please describe your ministry roles and responsibilities(Required)Ministry GoalsPlease describe your ministry goals after completing the program.(Required)Spiritual JourneyBriefly describe when and the circumstances in which you accepted Jesus as your Savior.(Required)Have you been baptized in water?(Required) Yes No Please explain why you have not been baptized in water.(Required)Have you been baptized in the Holy Spirit?(Required) Yes No Please explain why you have not been baptized in the Holy Spirit.(Required)EssayIn the space below write an essay describing the reason you chose to apply to Western Ministry Institute, what you hope to gain from this program.(Required) ReferencesTwo references (your pastor and a friend—not a family member) are required. Please provide the name and contact information of your references. Western Ministry Institute will send these individuals a confidential reference form to complete. Pastoral ReferenceName(Required) First Last Title(Required) Email Address(Required) Phone Number(Required)Is the reference above your lead/senior pastor?(Required) Yes No Has your lead/senior pastor agreed to have this individual serve as your referring pastor?(Required) Yes No If no, please explain:(Required)I have notified this individual that he/she will be receiving a reference form to complete on my behalf.(Required) Yes, they have been notified.Personal ReferenceName(Required) First Last Relationship(Required) Email Address(Required) Phone Number(Required)I have notified this individual that he/she will be receiving a reference form to complete on my behalf.(Required) Yes, they have been notified. AffirmationConsent(Required)I certify that to the best of my knowledge this application is true and accurate. Furthermore, if I am admitted to Western Ministry Institute I agree to abide by the standards of conduct and adhere to the policies set forth by the school as outlined in the catalog, which is available on our website WesternMI.com Yes, I agree.Name(Required) First Last Sign below with your mouse or finger.(Required)Application Fee PaymentApplication Fee Acknowledgment(Required)Upon reviewing and accepting your application you will be requires to pay a $90 application fee. I Agree CAPTCHA
