Rosedale Bible College : Admissions : IPS Application

O N L I N E I P S R E G I S T R A T I O N

Personal Data

First Name:
Last Name:
Mailing Address:
City:
State or Province:
Zip Code:
Telephone:
E-mail:

Previous Education

High School:
High School Graduation Year:
College Attended:
College Graduation Year:

Church Information

Home Congregation:
Denomination:

Current leadership role(s) (Check all that apply):

	Senior Pastor	Worship Leader
	Assistant Pastor	Christian Education Staff
	Youth Pastor/Leader	None
	Elder	Other

Registration Details

Courses you wish to take: (We encourage taking all three courses in each module if possible.)

Congregational Leadership
Interpreting the Bible
The Local Church in Mission

Will you be staying on campus during the week of instruction?
Yes No

Marital Status:
Single Married

What meals do you plan to be eating in the cafeteria during the week of instruction?

Breakfast
Lunch
Dinner
None

A deposit of $30 is required to make your IPS registration official. This deposit will be credited to your tuition when you arrive. Would you prefer to:
Make a secure payment online
Send payment by U.S. mail.

Miscellaneous

Further details regarding IPS will be sent once your registration has been processed. For now, the box below is provided for you to submit questions or comments you would like to address to the registrar.