God Will Provide Missionary School
21948 NE Glisan St, Gresham, OR 97030
(971) 231-4977 | [email protected] | www.gwpms.org
ADMISSION APPLICATION
The fastest method to apply for God Will Provide Missionary School is through our website at: www.gwpms.org/usa-application.html
Name of the program you want to apply for: ____________________________ Dates of the program: ___________
Last Name
First Name
Middle Initial
Date of Birth
Address
City
State/Country
Zip Code
Email
Facebook Name
Cell Phone
Home Phone
Your Marital Status (circle one)
Single
Engaged
Married
Separated/Divorced
Parents information is only required for
students that live with their parents:
Will you have a car with you in school?
Yes
No
In a Relationship
Father’s Name
What church do you attend most often?
Pastor’s Name
How did you hear about us? (circle all that apply)
Facebook
Radio
Friend Referral
Church Guest
Staff Referral
Father’s phone Number
Mother’s Name
Mother’s Phone Number
Pastor’s Phone Number
What languages do you speak?
Other:
Have you previously been on the missionary Trip? (circle one) If Yes, please explain.
Yes
No
Have you ever been arrested or convicted? (circle one) If Yes, Please Explain.
Yes
No
Are you on probation or parole? (circle one) If Yes, Please Explain.
Yes
No
Have you ever experimented with drugs or alcohol in the past? (circle one) If Yes, Please Explain.
Yes
No
Do you have any health problems? (circle one) If Yes, Please Explain. List medication you take on a regular basis.
Yes
No
Briefly explain why you want to study at God Will Provide Missionary School and your plans after you finish the program.
I, from this point certify that all information recorded above is accurate and true to the best of my knowledge. I do from this moment on release God
Will Provide Missionary School from any liabilities pertaining to myself, incurred during my stay at God Will Provide Missionary School; including activity
on weekend sport outings, any state visits, field trips, all outings, and any liability for any illness I may be exposed to while in attendance.
Signature
Date
Please mail completed form to the address on the right.
GWPMS (Attn: Admissions)
21948 NE Glisan Street
Gresham, OR 97030