Greenwood Acres Christian College Registration FormComplete the form in its entirety. Fields marked with an asterisk are required. Date * MM DD YYYY Name * First Name Last Name Social Security Last 4 Digits * Mobile Phone * (###) ### #### Work Phone (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Birthdate * MM DD YYYY Place of Birth * U. S. Citizen * Yes No Other Email * Marital Status * Single Married Divorced Widow Number of children Ages of Children Number of Grandchildren Church Affiliation * Office Held Other Church Activities Hobbies and Special Interests References * A - Professional References Please provide a minimum of 2 references Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### B - Personal References Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Degree Interests Bachelor of Biblical Studies Master of Biblical Studies Master of Christian Counseling Master of Divinity Master of Religious Education Doctor of Biblical Studies Doctor of Religious Education Educational Background (High School and College) please give complete information * Institution * Major Date Attended * Institution Major Date Attended * Professional experience (Most Recent First) Job Title Position Dates Worked Job Title Position Dates Worked Dean Name/Signature/Date Registrar Name/Signature/Date Student Name/Signature/Date Thank you, for registering. You will be contacted soon to confirm your registration. Welcome to Greenwood Acres Christian College!Angela G. Turner Registrar
