In-Person Student Application

You are applying to attend SMTI at your local church.

"*" indicates required fields

Host Church

Choose your SMTI host church from the list below.

Application for:*

Supernatural Helps (Year One)

Advanced Survival Techniques (Year Two)

Ministerial Practicalities (Year Three)

Tuition Category

Partners Plus: An individual who purposes in his/her heart to make a monthly commitment of $50 or more to Mark Barclay Ministries.
Alumni Student: A returning student who is repeating the same course and fulfills all the academic requirements. (Note: No other discounts apply.)
Audit Student: An individual who is not required to fulfill any of the academic requirements except for the pastoral reviews. (Note: No other discounts apply.)
Military: Active, reserve, or retired military personnel. Must provide proof of military service. (Note: No other discounts apply.)
Law Enforcement: Active or retired law enforcement personnel. Must provide documentation. (Note: No other discounts apply.)
Ministers: Licensed or ordained ministers. Must provide proof of licensing/ordination. (Note: No other discounts apply.)
Household: If multiple members of the same household are attending each one will receive a 10% discount. (Note: No other discounts apply.)

Personal Information

Name*

Prefix First Middle Last

Date of Birth*

Gender*

Male

Female

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Enter Email Confirm Email

Marital Status*

Single

Married

Spouse's Name*

Is your spouse attending?*

Yes

Are you a U.S. Citizen?*

Yes

Country of Citizenship

Country of Birth*

Military Service Document

Please provide a copy (scan or photo) of your military ID, discharge papers, or equivalent documentation. (Required for approval of 50% military service discount.)

Max. file size: 128 MB.

Spiritual Background

Are you born again?*

Yes

How long?*

Have you been water baptized?*

Yes

Are you filled with the Holy Spirit?*

Yes

How long?*

Testimony:*

Please explain your testimony, in brief, of your personal relationship with the Lord Jesus Christ.

Why you want to attend:*

Please explain why you want to attend SMTI.

Old habits:*

Please list any old habits or substance dependencies you are still believing to be delivered from (tobacco, alcohol, drugs, etc.).

Special needs:*

Please list any special needs or situations.

Educational Information

High School Name*

Do you have a high school diploma?*

Yes

GED

Highest Grade Completed*

Higher Education*

List any colleges or universities you have attended (including years attended and degrees earned).

School Name

Years Attended

Degrees Earned

Employment Information

Are you presently employed?*

Yes

Place(s) of current employment:*

Church Information

Church Name*

Pastor's Name

This may also be a designated representative of your pastor.

Prefix First Last

Church Address*

Street Address Address Line 2 City State ZIP Code

Church Phone*

Your Ministry

Are you a licensed or ordained minister?*

Yes

If yes, through whom?*

License/Ordination Document*

Max. file size: 128 MB.

Please upload a copy (scan or photo) of your proof of ministerial licensing/ordination. This may be in the form of a certificate or ID card.

Have you previously attended SMTI?*

Yes

Former Name

If there has been a name change since the last time you attended, what was your former name?

SMTI Courses Completed*

Course Name

Date Completed

Specialized Training*

Have you had any specialized ministry training or experience?

Yes

Explain Your Ministry Training*

Do you feel God has called you into the "fivefold ministry"?*

Yes

If yes, what office?*

Apostle

Prophet

Evangelist

Pastor

Teacher

Are you presently working in the helps ministry of your church?*

Yes

What areas are you involved?*

Recommendation

Pastoral Recommendation

We will email your pastor a form to complete for your recommendation.

Pastor's Name*

This may also be a designated representative of your pastor.

Prefix First Last

Pastor's Email*

Pastor's Phone*

Agreements

Student Agreement*

I, the undersigned, do hereby agree to the following:

Based on my Christian integrity, I agree to honor the following requests of SMTI.

Not to reproduce any material in respect of copyright laws.

Not to lend or share any SMTI materials with any individual not registered as a student of SMTI.

I agree to the following tuition refund policy:

The down payment will be refunded up to one week after Orientation Day.

If my tuition is paid in full at the beginning of the school term and for some reason I am unable to continue to attend, a complete refund (minus the down payment) is available up to 30 days. SMTI headquarters must be notified no later than the fifth week of school in order for the refund to be issued (no exceptions).

I will be charged a $25 processing fee for any returned check.

I agree to pay all my tuition on or before the date due.

I understand that I will not be allowed to attend SMTI classes if I do not fulfill my financial obligations.

Tuition is due the first class day of the month. If payment is not received within 10 days, SMTI will charge a late fee of $25.

I hereby understand that all items related to the application submitted to Supernatural Ministries Training Institute are a part of the application process and become permanent property of Supernatural Ministries Training Institute and will not be returned.

I hereby state that all the information contained on my application is correct and true. If Supernatural Ministries Training Institute is notified that any information contained herein is false, it will be grounds for my immediate dismissal from Supernatural Ministries Training Institute. I also understand that completion of this application in no way guarantees or implies acceptance and/or enrollment as a student of Supernatural Ministries Training Institute.

I understand that the information contained on the Personal Recommendation and the Pastoral Recommendation is con- fidential. I hereby waive my right to see the confidential material contained therein, and I hereby release said materials to become the property of Supernatural Ministries Training Institute.

I have read this agreement, fully understand the terms herein, and choose to abide by them as a student of SMTI.

I agree to the SMTI student policies listed.

Payments

Application Fee Payment

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Application Fee*

Price:

Total

Credit Card*

Comments

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