Fill this out please, continuing on the back if needed.
Name______________________________________________________________
Widow or non-widow leader? ________________________________________
Email address: _______________________________________________________
Facebook Name:______________________________________________________
Mailing Address:_____________________________________________________
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Phone Number:_______________________________________Do You Text?_____
Share your Salvation Experience: ______________________________________________________________
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What other experiences have you had with the Lord to further your walk in Him?___
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(continue on the back)
List the gifts and talents you feel the Lord has given you or used you in:___________
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How long have you been serving the Lord?_______________________________
What areas of ministry have you served in?_______________________________
Why do you want to take this course?__________________________________
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What area of ministry are you drawn to? (Hospital, Homeless, Prison, Fostercare,
Widows, Church Ministry/Outreach, Business, Government, Other____________)
What needs are you drawn to?_________________________________________
Give me a summary of your testimony: __________________________________
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Please PRINT and prayerfully fill out this application.
Ask your pastor or ministry leader to write referral on your behalf with their contact information.
Then print, scan & email it to dr.carolmarie@gmail.com. ...And
put GLLOW COURSE on the Subject line.
OR you can mail it to:
Dr. CarolMarie, P.O. Box 12772, Knoxville, TN 37912.
After reviewing your application, we will contact you.
With acceptance, a link will be sent to you for payment or you can send a check to above address.