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00 - Application for Reinstatement


  1. International College of Ministry

    International Office: 5631 Gilliam Rd., Orlando, FL 32818
    Mailing Address: 311 Saint Dunstan Way, Winter Park, FL 32792

    www.icmcollege.orgThis email address is being protected from spambots. You need JavaScript enabled to view it. — 321-837-9894

    Application for Reinstatement



  2. Fields marked with (*) are required fields.

  3. Campus or Online Director (if known)
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  4. Name:(*)
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  5. Maiden or Previous Name:
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  6. Social Security:(*)
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  7. Date of Birth(*)
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  8. Gender:(*)
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  9. Date of Application(*)
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  10. Address:(*)
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  11. City:(*)
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  12. State:(*)
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  13. Zip Code:(*)
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  14. Cell Phone:
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  15. Home Phone:
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  16. Email Address:(*)
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  17. Program to Reinstate:(*)












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  18. I am pursing a *ministry degree and wish to add a concentration in one of the areas below (18 credit hours are required in the area chosen). May chose one if desired: (*)
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  19. These degrees are of a strict ecclesiastical nature intended for the work of Christian Ministry.

    I have read and understand the above statement.

  20. Applicant's Electronic Signature:(*)
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  21. Date Signed(*)
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  22. After you click "Submit Application," you will be automatically taken to PayPal to process your $25 USD application fee.


  23. ICM Application Fee:


    By clicking "Submit Application" you will be taken to PayPal to process your application fee. Once your application fee is recieved, your application will be processed.


  24. For Security,
    Please Complete this CAPTCHA Form to Show You are Not a Computer.

    (*)
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International College of Ministry

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