xpn student application Name * First Name Last Name Reference Email * Birthdate * MM DD YYYY Gender * Male Femail Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Marital Status * Single Married Widowed Primary Language English Samoan Other Ministry Background/Experience * Church Currently Attending * Church Denomination * Lead Pastor * Current ministry status or roles (if any) * Check any that apply Lead Pastor Assistant Pastor Missionary Evangelist Childrens/Youth Ministry Church Administration Media/Audio/Visual Greeters/Ushers Hospitality Outreach Elder/Board Member Other Ministry Start Date * Ministry Credentials * Licensed Ordained Not applicable Past Ministry Involvement Pastoral Evangelism Radio/TV Training Administration Professional Reference * Ideally, we'd like your professional reference to be from a member of your church leadership (although other professional references will be accepted). First Name Last Name Reference email * Reference Number * (###) ### #### Number of years known * Relationship to applicant * Have you ever attended Xplore Nations Bible College or another bible college? If so, which one and where? * Please select the highest level of education you've completed * Less than a High School diploma High School diploma Some college Associates Degree Bachelors Degree Masters Degree Professional Degree Doctorate High School and Year Graducated Please share your salvation story Anything you'd like our campus directors to know about you? Statement of Truth * By electronically signing my name below, I swear and affirm that the information in this application is true and correct. First Name Last Name Today's Date * MM DD YYYY Thank you for submitting your application! We’ll be reaching out to you shortly