School of HIM Application To apply to become a student at the School of HIM, please complete the online form below or download the paper form and submit your $35 application fee. Step 1 of 8 12% I am applying for:* In Person Classes Online Classes Academic Year* 2021 - 2022 2022 - 2023 Personal InformationName* First Middle Last Suffix Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell Phone*Email* How did you hear about School of HIM?* Emergency Contact Name* Relationship* Phone*Are you a U.S. citizen?* Yes No Gender* Male Female Date of birth* YYYY dot MM dot DD Marital Status*SingleMarriedEngagedDivorcedWidowed/WidowerDate of marriage* YYYY dot MM dot DD Name of Spouse* Is your spouse in agreement with your attendence to SHIM?* Yes No Criminal RecordHave you ever been convicted of a criminal offense (misdemeanor or felony)?* Yes No Plese explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed and type(s) of rehabilitation.* Medical RecordAre you presently under the care of a physician?* Yes No Please explain*Do you have any physical limitations or learning needs that would require assistance or modifications?* Yes No Please explain*By choosing "Yes" below, I grant full and complete permission to the School of HIM, its employees, or any related or consulting physician to render or give emergency medical aid, care, treatment, or assistance that could or would be deemed required or necessary. I also state that should hospitalization be required, I grant full and complete permission for such care and treatment. This consent I give freely, fully knowing and understanding all the above and its relation to and effect upon me.* Yes No Education HistoryHighest level of education completed*HighschoolBachelor's/Associate DegreeMaster's DegreeDoctorate DegreeHigh School Name* High School Graduation Date* MM slash DD slash YYYY Bachelor's/Associate Degree College Name* Bachelor's/Associate Degree Graduation Date* MM slash DD slash YYYY Master's Degree College Name* Master's Degree Graduation Date* MM slash DD slash YYYY Doctorate Degree College Name* Doctorate Degree Graduation Date* MM slash DD slash YYYY Work HistoryEmployment Status Employed Unemployed Retired List your past work experience (most recent first) starting with PRESENT employer.List your past work experience (most recent first).Name of Present Employer* Present Position* Start Date* YYYY dot MM dot DD Name of Past Employer Past Position Start Date YYYY dot MM dot DD Name of Past Employer Past Position Start Date YYYY dot MM dot DD Name of Past Employer Past Position Start Date YYYY dot MM dot DD Financial InformationHow do you plan to finance your education at School of HIM?*My EmploymentSpouse's EmploymentParental SupportOtherDo you have any dependents for whom you will be responsible?* Yes No How many dependents?* 1 2 3 4 5 or more Dependent 1 Name* Dependent 1 Age* Dependent 1 Relationship* Dependent 2 Name* Dependent 2 Age* Dependent 2 Relationship* Dependent 3 Name* Dependent 3 Age* Dependent 3 Relationship* Dependent 4 Name* Dependent 4 Age* Dependent 4 Relationship* Please list Names, Ages and Relationship to all dependents on separate lines* Church InvolvementName of Church* Pastor Name* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you attend regularly?* Yes No Are you a tither?* Yes No Are you a member?* Yes No How long have you attended this church?*SelectLess than a year1 year2 years3 years4 years5 years6 years7 years8 years9 years10+ yearsAre you Licencsed? Ordained? With what denomination/organization?* Please eleaborate on what area of ministry do you believe that you are called to serve.Please answer the following questions in your own words.Why do you want to attend School of HIM?*Please write a brief testimony of your Christian experience, including details of your salvation and any other significant events that have contributed to your Christian growth, including water baptism.*Have you received the baptism of the Holy Spirit with the evidence of speaking in tongues? If yes, please briefly describe what this has meant to you in your Christian growth?* Documentation RequiredIf you don't have your recommendations and/or picture, please email asap to [email protected]2 Personal Recommendations(Word, PDF or TXT files accepted) Drop files here or Select files Accepted file types: doc, pdf, txt, Max. file size: 50 MB. 1 Pastoral Recommendation(Word, PDF or TXT files accepted) Drop files here or Select files Accepted file types: doc, pdf, txt, Max. file size: 50 MB, Max. files: 1. 1 Picture (head shot, passport style(JPG, GIF, PNG and PDF files accepted.) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB, Max. files: 1. I AgreePlease indicate your agreement by checking the boxes below:* I have read the Honor Code, and I agree to follow these guidelines while I am an active student at School of HIM. * I have read the Dress Code, and I agree to follow these guidelines while I am an active student at School of HIM. * I have read What We Believe, and I agree to follow these guidelines while I am an active student at School of HIM. * I have read the Student Financial Responsibility, and I agree to follow these guidelines while I am an active student at School of HIM. * I understand that if I physically attend School of HIM I will become an active member at Harvest Church TXK while attending School of HIM. (Special circumstances will be considered for local students.) By submitting this application, I certify that I have truthfully and accurately answered all questions contained in this application. I understand that falsification of any kind are grounds for refusal of my application or expulsion, should falsehood be discovered after acceptance into the academic program.Your application will not be processed until we receive your application fee of $35 and all required documents.Application Fee Price: Total $0.00 Coupon Code Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Download Application