MGBI Application Form Name * First Name Last Name Address of Residence * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Primary phone number:* Below please describe your motivation for seeking training from MGBI: * Below please describe any relevant coursework, degrees, certificates and diplomas you have previously completed* REFERENCE #1 - Please provide the name of a reference who can verify your maturity and spiritual readiness for this program:* * How can we contact REFERENCE #1? * Phone Email REFERENCE #1 - List the phone number or email below: * REFERENCE #2 - Please provide the name of a reference who can verify your academic readiness to participate in MGBI programs: * How can we contact REFERENCE #2? * Phone Email REFERENCE #2 - List the phone number or email below: * REFERENCE #3 - Please provide the name of a reference who can verify your citizenship within your church community * How can we contact REFERENCE #3? * Phone Email REFERENCE #3 - List the phone number or email below: I certify that all the information provided above is true Before acceptance to the program, I understand that I will be required to read and agree to the Student Lifestyle Expectations, the Student Handbook, and the Financial Policy of MGBI. Before acceptance to the program, I understand that I will be interviewed by faculty to determine whether MGBI programs are a good fit for me Thank you!
