SOM Process – 3 – Enrollment Agreement – Church of God Division of Education

CERTIFICATE IN MINISTERIAL STUDIES (CIMS)
ENROLLMENT AGREEMENT

The Church of God School of Ministry is authorized by the Tennessee Higher Education Commission. This authorization must be renewed each year and is based on an evaluation of minimum standards concerning quality of education, ethical business practices, and fiscal responsibility.
Enrollment Information
Date of Application*
Date Training Begins*
MM
DD
YYYY
Program Length:
36 Months
Status of Student*
- Full-Time
- Part-Time
Projected date of completion*
MM
DD
YYYY
Name*
First Middle Last
If you do not have a middle name, place an 'x' in the Middle Name field.
Social Security Number*
Ministerial Number
Only applicable if you are a credentialed Church of God minister.
Date of Birth*
MM
DD
YYYY
Phone*
Email*
Gender*
- Female
- Male
Married Status*
Ethnicity*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Background
Please enter the dates you received the following, if applicable:
High School Diploma - Year
GED Equivalency - Year
College Graduate - Year
Graduate School - Year
Other
Employer
Employer's Phone Number
Employer's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
CIMS Enrollment
I will be studying through:*
- Internet
- DVD
- Distance Learning Center (DLC)
- Distance Learning Seminar (DLS)
- Lilly Grant Recipients
DLC or DLS Location
Date I plan to begin my first CIMS course:*
MM
DD
YYYY
Grievance Policy

Any grievances not resolved on the institutional level may be forwarded to the
Tennessee Higher Education Commission, Nashville, TN 37243-0830, (615-741-5293).

Signature
Signature

For the program entitled Certificate In Ministerial Studies (CIMS), I have been informed that for the July 2016–June 2017 period, the withdrawal rate is 0%, the completion rate is .009%, and the in-field placement rate is .009%. Detailed statistical data for this program may be viewed by going to http://state.tn.us/thec and clicking on the “Authorized Institutions Data” button.

Sign below, with the following affirmation: “I do hereby affirm that I have retained a personal copy of this Application for Enrollment and Admission to the Church of God School of Ministry, which details the total cost of the program and the refund policy.”
I, the student, have read and understood this document.*
- Yes
- No
Signature*

SOM Process – 3 – Enrollment Agreement

Enrollment Agreement

CERTIFICATE IN MINISTERIAL STUDIES (CIMS) ENROLLMENT AGREEMENT

The Church of God School of Ministry is authorized by the Tennessee Higher Education Commission. This authorization must be renewed each year and is based on an evaluation of minimum standards concerning quality of education, ethical business practices, and fiscal responsibility.

Enrollment Information

Background

CIMS Enrollment

CIMS Courses

Signature

Signature

CERTIFICATE IN MINISTERIAL STUDIES (CIMS)
ENROLLMENT AGREEMENT