How did you hear about the Shulamite School of Worship?
From the Davidsons
I receive the "Becoming the Beloved" newsletter
I found you on the internet
A friend told me
I read about the School somewhere
I heard about the School on a teaching Cd
I was referred by an Alumni of the School
If you answered "I was referred by an Alumni of the School" please give us their name:
Your Last Name:
Your First Name:
Your Middle Name:
Gender:
Male
Female
Address:
City:
State/Province:
Country:
Postal (Zip) Code:
Telephone (include country code)
Email Address:
Age:
Marital Status:
Single
Married
Separated
Divorced
Widowed
Spouse's Name:
Country of Citizenship:
Passport Number if other than US citizen:
Place of Passport Issue:
Date of Passport Expiration:
Name of Person To Contact In Case of Emergency:
Relationship of Emergency Contact Person:
Telephone Number of Emergency Contact Person:
Physical Address of Emergency Contact Person:
Email of Emergency Contact Person:
Name of Home Church:
We would like to view your Church's website. What is that web address?
If You Have No Home Church, Please Explain Why:
Are you presently engaged in full or part time ministry?
Yes
No
If "yes" above please indicate what kind of ministry you are involved in:
Apostolic
Prophetic
Evangelism
Pastoral
Teaching
Missionary
Administration Support
Street Ministry
Kingdom Financing
Church Planting
Worship Leader
Worship Team
Intercessory Prayer
Bible Distribution/Translation
Resources (Books, Cds)
Youth
Children's Ministry
Ministry to older people
Marketplace Ministry
Church Leadership Team (Elders)
Mercy Ministries
Abortion Intervention
Biblical Counselor
RTF (Restoring the Foundations)
From this list, please choose the statement that best describes where you are presently in your spiritual journey:
I am at a very good place
I am at a place of transition
I am at a difficult place
I am at a painful place
I am at a place of confusion
I am at a lonely place
I am in a confined place
I am at a crossroads
I am at a place of new beginning
I am at a place of new revelation
Other
If you answered "other" above, please explain:
From this list, please choose the statement that best describes your greatest spiritual need at this time:
I need to feel God's love
I need to hear God's voice
I need someone to counsel me
I need to learn more about the Bridal love of God
I need to be healed of deep hurts
I need to develop my prayer life
I need to learn how to be still and wait
I need for someone to listen to me
I need a vision for myself
I need a someone to desire and love me (mate)
I need help with my problems
I need a break from my life
I need to find a place of rest
I need an encounter with God
I need to be filled with the Holy Spirit
I need to be able to forgive others
Other
If you answered "other" above, please explain:
What part of your life needs an "extreme makeover"?
My health
My emotions
My relationship with God
My relationship to God's church
My love life
My marriage
My ministry
My prayer life
My spiritual habits
My finances
My relationship with my child(ren)
My relationship with my parent(s)
My attitude toward life
The hidden part of my life
Are you a member of Rock Hill Christian Fellowship in White Oak, Texas?
Yes
No
Are you presently under a medical doctor's care?
Yes
No
Please specify any form of illness you presently have that could possibly be infectious to other people.
Are you taking medication at this time that would be important for us to know about?
Yes
No
If "yes" please specify the name of the medication:
Do you have physical limitations that would possibly hinder your involvement in this school?
Yes
No
If "yes", please specify your limitations:
Do you have any other physical health concerns that we need to know about in order to serve you while in White Oak?
Yes
No
If "yes" to the above answer, please specify:
Have you ever received/ or are you now receiving professional counseling for personal, mental, emotional or family matters and knowing this information would be helpful for the school staff?
Yes
No
If "yes" to the above question please specify.
Do you have any special dietary needs?
Yes
No
If "yes" to the above question, please specify needs:
Do you have a criminal record?
Yes
No
If you answered "yes" above, please check the boxes that indicate your criminal past:
Physical assault
Abuse of a spouse
Abuse of a child
Sexual assault of an adult
Sexual contact with a minor
Illegal drug use
Selling of illegal drugs
Driving while intoxicated (DWI)
Driving under the influence of drugs (DUI)
Murder
Theft
Armed Robbery
None of the Above
Explain your criminal past as it relates to how you are today:
Please indicate your registration status
Early registration (up to 60 days before start date)
Late registration (within 60 days of start date)
At-the-door registration
Will you be living on campus (shared dorm room)
Yes
No
Not sure
Will you want to purchase the Meal Option?
Yes
No
Not sure
In the event of an emergency in which I am rendered unconscious and my nearest responsible relative or guardian cannot be contacted, I hearby agree to such treatment, anesthetics and operations to be performed upon myself as in the opinion of the attending physician/s is deemed necessary.
Yes
No
I confirm that I understand payment of the required school tuition and fees must be received by Shulamite Ministries prior to my arrival. I am aware that if I pay the balance of my fees upon arrival an additional fee applies.
Yes
No
I understand that while attending the School of the Bride, if I choose to live on campus, that I will be living in a communal setting and sharing a dorm room with other people.
Yes
No
I understand and agree that I will be asked to read and sign a Code of Conduct once I arrive at the School. This Code of Conduct relates to general safety issues, the School's expectation that I will conduct myself according to Biblical Christian morals, and the basic rules that govern communal living.
Agree
Do Not Agree
I also understand and agree that my unwillingness to read, sign, and abide by the Code of Conduct may result in my expulsion from the School as deemed appropriate by the faculty, and/or the leadership team of Shulamite Ministries and/or the leadership team of Rock Hill Christian Fellowship.
I Agree
I Do Not Agree
I confirm that the information given above is correct and that if it is determined that I purposely answered in a way that was false or misleading, that it could result in my being expelled from the School.
Yes
No