Ministry school registration form

Kingdom Restorer's Ministry Training School

291 Mustian Rd. Norlina, NC 27563 * 111 W. Franklin St. Warrenton, NC 27589
Instructions: Please note that courses listed on this form are for Teleconference/ lecturers Bible
Classes. Please check the box next to the classes you wish to participate in, and mark correspondence or
lecturer to indicate what aspect of study course you prefer. Email: Kingdombiblestudy10@yahoo.com
Registration Form:
Section I. Personal Information:
First Name:_____________________ Last Name:____________________ D.O.B:___________
Address:_____________________________________________________________________

City/State___________________________________ Zip__________ Phone:______________

Alt. Phone #_______________________ Email:______________________________________
Have you had previous ministry training? ______

If so, where and when:_______________

___________________________________________________________________________
Dates attended______/_______

Did you graduate?_________ What type of Degree______

College of Ministry training Cont.:

__________________________________ Dates Attended_____/______ Degree__________
Other:_______________________________________________________________________
____________________________________________________________________________
Church or Ministry Affiliation:
Pastor/ Overseer:__________________________________ Phone:_____________________
Name and Address of Organization:
Name_______________________________________ How long Affliiated/ Member__________
Address________________________________________________ State/ Zip_______________
Web:__________________________________ Email:__________________________________

www.kingdomrestorersministryinternational.blogspot.com

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Ministry school registration form

Class materials and the cost (all materials are at low cost for those enrolled in study programs)
Classes being offered
( ) The Ministry Gifts

( ) Aromor Bearer

* Who God Calls , He Equipps

( ) Altar Ministry

( ) Spiritual gifts
*Healing

*Apostles

*Tongues/ Interpretation

*Prophets

* Words of wisdom

*Evangelist

*Discernment

*Pastor

* Words of Knowledge

*Teacher

* Miracles
*Prophecy

( ) Outreach / Evangelism

( ) Intercessory Prayer

( ) Deliverance Min.

These Classes are taught at the Kingdom Restorer's Ministry location: 111 W. Franklin St. Warrenton,
NC 27589, but will also be available at the same time via Teleconference.
Upon Completion of the program, there will be a certificate awarded, and a graduation ceremony. This
school of Ministry is covered by the Kingdom Empowerment Ministry Institute.

www.kingdomrestorersministryinternational.blogspot.com

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Ministry school registration form

Name of Student:
Student Number:______________________

Number of Certificates Attempted ___________

Number Awarded_____________

GPA_______________

Please return this form along with your registration form to:
(for certificates to be mailed via USPS)
Michelle Ragland
KRMICTS
291 Mustian Rd
Norlina, NC 27563
Or Email: Kingdomministryschool@gmail.com
Email: Kingdomrestorersministry@gmail.com

*Make all checks/ money orders out to : Kingdom Restorers Ministry, and in the note section write:
KEMI*cost subject to change without notice.
Office Use Only******************************************************************
Date registration received:____________/ 20___
Processed by:_____________________________
Scheduled Submitted________ When___________
Session:_____________

www.kingdomrestorersministryinternational.blogspot.com

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