Everlasting C.H.I.P. Ministry University International
Affiliated with California State Christian University
Discipleship Training Center
Check One
School of Ministry_______
Prophetic School _______
School of Prayer _______
Other ________
Name________________________________________________________________
Addresss______________________________________________________________
City: _____________________________________ State: _______ Zip: ____________
Phone Number ( ___ ) ________ - ________
Are You Licensed? Yes _____ No _____ Ordained? Yes _____ No _____
When Did You Make Jesus Christ The Lord of Your Life? Mo. _____ Yr _____
When Were You Baptized With The Holy Spirit? Mo. _____ Yr _____
When Did You First Hear God’s Call To The Ministry? Mo. _____ Yr _____
How Long Have You Been Teaching or Ministering? _______________________________
Reason For Attending This Class: ______________________________________________
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Personal Testimony and Commitment: ___________________________________________
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1171 W. Katella Ave, Anaheim CA. 92804 – Tel (714) 772-7802 – Fax (714) 539-7538
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