National Christian Counselor Training
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Program One - Certification
Program Two - BA Degree
Program Three - MA Degree
Program Four - Doctorate Degree
Program Five - 2nd Doctorate Degree
Name
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Email
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Address
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Date of Birth
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Marital Status
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Gender
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Highschool Diploma Awarded By? Year?
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Associates Degree Awarded by? Year?
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Bachelor's Degree Awarded by? Year?
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Master's Degree Awarded by? Year?
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Doctoral Degree Awarded by? Year?
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Date you became a Christian?
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Do you hold ministerial credentials? With what organization?
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What Church do you attend?
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Do you have a felony conviction? If so, please explain.
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Spouse's name, if applicable.
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Your current occupation
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Briefly tell us about your personal testimony:
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Why do you want to become a counselor?
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What are your plans for future ministry?
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How would you like your courses?
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Please make sure all your information is correct before sending the Application. After you send your application you will be redirected to another page to pay the $50 Enrollment Fee.
What formal or informal training have you already had?
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Explain your call to a counseling ministry?
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How will you be paying?
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