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
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