dr_mondaca-student-application

Previous or Current Chaplaincy Badge Number

Name *

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Last

Address *

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Last

Country *

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Last

Social Security #

Telephone *

Email *

Gender *

Place of Birth *

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Middle

Last

Citizenship *

Date of Birth *

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Last

Marital Status *

Spouse Name

Do you Plan to Attend *

Undergraduate Programs

Graduate Programs

Previous Education Information

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College/University

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Middle

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College/University

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Are You Ordained

If Ordained Select Title

Bachelor Program "Degree Conversion Program"

Bachelor of Ministry
Bachelor of Christian Counseling

Current Chaplain's that would like to Join RU Chaplaincy Association "For a 30 Day ONLY"

United States Fee $250, RU Badger & ID, RU Chaplaincy Certificate, plus shipping and handling.

International Current Chaplain's that would like to Join RU Chaplaincy Association "For a 30 Day ONLY"

International Fee $200, RU Badger & ID, RU Chaplaincy Certificate.

Tuition for New Chaplaincy Students

New United Sates Chaplaincy $575
New International Chaplaincy $375

Name on Debit/Credit Card *

Rhema University Chaplaincy Certificate Program, your card will be charged a $575 tuition fee.

Type Of Card *

Card Number *

3 Digit CSC ( On Back of Card ) *

Expiration Month *

Expiration Year *

Place Your Name Here As Your Signature *

First

Last

I have read this online presentation of Rhema University and agree to abide by the standards as set forth. I have told the truth to the best of my ability on this application. I further acknowledge that no other representations have been made to me in writing or orally other than what is stated in this online presentation. I understand that all information given in this application is subject to verification and will be confidential. I, the applicant, stated that all information is true. Any bad action and behavior on my part is not the responsibility of Rhema University Chaplaincy Association. With my signature, I accept that I'm responsible for any wrongdoing using my ID or Badge assigned by Rhema University.

Rhema University Student Application

Rhema University Student Application

Teaching followers to become

Leaders.