West Virginia School of Preaching

West Virginia School of Preaching
Fourth Street & Willard Avenue
P.O. Box 785
Moundsville, WV. 26041

Phone:	(888) 418-4573
	(304) 845-8001

Enrollment Application Form

First Name:	Last Name:
Place of Birth:	Date of Birth - -
Address
City:	State:	Zip:

Phone Number:	E-mail:
I agree to a personal interview (along with my wife if married ) with the Director of the School and an Elder of Hillview Terrace Church of Christ prior to my being accepted for admission.
Education grade level attained: Have you had to withdraw from any school or college? yes no	Names of schools: (or colleges, if any)
Please explain:
Please list anywhere you where employed and what type of work it was:
Marital Status: single married divorced divorced and re-married	Please explain fully any divorce status:
Wife's name:	Please list any children:
If married, what are your wife's feelings about you attending West Virginia School of Preaching and devoting your life to preaching the gospel?
When were you baptized?	Where you baptized?
Who baptized you?	Which congregation are you attending?
What experience do you have in the work of the church?
Could you handle a preaching appointment, if such were available? yes no
Could you lead singing for a congregation, if invited? yes no
Do you use or have you used any of the following substances: Tobacco Alcohol Drugs If you use tobacco, will you quit before entering school? yes no Do you have any dependency on any of these substances? yes no Do you have any physical handicap which might hinder you as a gospel preacher? yes no If so, please explain:
Do you have any medical or psychriatric condition that may require treatment while in school? yes no
If yes, please explain.
Have you ever served in the military? yes no	Were you honorably discharged? yes no
Financial Information: Will you have full financial support while in school? yes no	What minimum support will you required while in school?
Will you have indebtedness while you are in school? yes no	What amount will you owe?
Note: while we will be glad to help students raise support, if possible, be it understood that we cannot be responsible. Students should have all their living and other expenses arranged before entering school. References: List one preacher, one elder, one Christian businessman and one non-Christian member of the business community; each of whom has known you for at least two years. Give the complete mailing address for each reference. (Do not include relatives.)
Preacher's Name:
Address	Phone Number:
City	State	Zip

Elder's Name:
Address	Phone Number:
City	State	Zip

Christian Businessman:
Address	Phone Number:
City	State	Zip

Non-Christian Businessman:
Address	Phone Number:
City	State	Zip
What is the date you plan to enroll?
In the space below please provide a brief statement explaining why you want to attend West Virginia School of Preaching and how you plan to use this training. Also, explain what motivated you to decide to preach the gospel. This is an important part of your application.
Dorm Application: A dorm is available to those who are not married or who do not have dependents living with them while in school. To obtain these accommodations you must be a student at the West Virginia School of Preaching and must maintain passing grades. Any damage to the dorm will be taken from the final pay to make the repairs, and the balance will be returned to the student upon his leaving the dorm housing. Please fill in as completely as possible and sign this document. This form is to be submitted to the elders for their approval and a signed copy returned to the student before moving into the dorm.
Emergency Contact	Emergency contacts address.
Emergency contacts Phone Number.