CT Personal Information Form (PIF)

Personal Information

First Name:

Middle Name/Initial:

Last Name:

Email:

Street Address:

City/Town:

Prov/State:

Postal/Zip Code:

Telephone:

Date of Birth:

Citizenship:

Gender: male female

Today's date:

Church

Home Church:

Address:

Pastor's name:

Pastor's phone:

Email address:

Course Registration

List the courses you are interested in by selecting B, C or A using the following legend to indicate your level of participation:

B (Bible College credit) C (Certificate) A (Audit)

Global Ministry Methods & Disciplines
and Spiritual Formation                             B C A

Cross-Cultural Communication                  B C A

Urban Realities & Strategies                     B C A

Acts                                                             B C A

Perspectives                                               B C A

Local Intercultural Practicum: Toronto     B C       A (NA)

Global Intercultural Internship: Overseas B C      A (NA)

Ethnography: Overseas                              B C       A (NA)