RZIM Academy Application

India Academy Application

Select your option of the month that you would like to apply for:
(Duration of course: 3 weeks)

Available Dates* May 7 - 25, 2012 Oct 1 - 19, 2012
Title*
First Name*	Last Name*
Email*
Date of Birth (DD-MM-YYYY)*	Gender* MaleFemale
Maritial Status*	State*
Address*	Country*
City*
Pin Code*	Mobile*
Telephone*
Educationl Qualification*	Current Occupation*

Languages Known*	English proficiency* ExcellentGoodFairWith difficulty

Church affiliation*
Ministry in which you are presently involved*
What is your specific goal about your future ministry?*
Give two references (with contact info) who can recommend you to this training.*
Have you attended any RZIM programs earlier? If so provide details.*
Why do you want to attend this training programme?*
How did you hear about this training course?*
Write your personal testimony (around 800 words).*

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