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Foursquare Culture & Doctrine App
First Name
Last Name
Birthdate
Birthdate
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Gender
Gender
Female
Male
Email Address
Phone Number
Permanent Address
Permanent Address
Country
Street
City
Region
Postal Code
What is your Education Level?
Some high school, no diploma
High School Diploma
Some College, no degree
Associate's Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
What semester do you intend to be enrolled into this class?
Fall
Spring
How did you hear about the online Foursquare Polity and Doctrine course?
Foursquare District
Please specify the district below. If you are unsure, please state unsure.
Name of Church where you currently serve in ministry.
Church Address
Church Address
Country
Street
City
Region
Postal Code
Reference Letter
Reference Letter from your Senior Pastor or Foursquare District Staff member recommending you to go through the licensing process.
Foursquare Culture and Doctrine
Foursquare Culture and Doctrine course Payment
Amount Due
Transaction Fee
Dependent on selected payment type
Total
Dependent on selected payment type
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Signature
By signing I acknowledge that my credit card will be charged $95.00 and the transaction fee and that payment is non-refundable after the add/drop date (which is the second Wednesday after the course begins). My submission of this form indicates my intent to enroll in the selected course(s) as a non-degree seeking audit student and not an active Life Pacific University. I understand that I will NOT receive college credit and will receive a pass/fail grade upon completion of the course.
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