PRACTICUM REGISTRATION

LICENSED

Be sure you have checked with your requested Pastor/Mentor before you submit this online form. After you have registered, you will be able to send your mentor a link to the mentor agreement form from google classroom.

Student Information

Enrollment

Name

Confirm Email

Phone Number

Address

Date of Birth

Gender

Male
Female

Church Name

Church City

Practicum Registration

Number of courses you have completed through ASOM

Practicum Level you are applying for:

Practicum Level(s) you have completed (Select all that apply)

None
Level 1 - Certified
Level 2 - Licensed
Level 3 - Ordained

Pastor/Mentor Information

Pastor Mentor Name

Pastor/Mentor Email

Pastor/Mentor Address

Pastor/Mentor Phone Number

Pastor/Mentor Church

Pastor/Mentor Current Ministry Position

Agreements & Disclaimers

Courses completed through the Arizona District School of Ministry (ASOM) that are required by the Assemblies of God for credentials meet the educational requirements of the General Council for the respective level of credential. Completion of courses, however, does not guarantee that a ministry credential will be granted, or that preferential treatment will be given to those completing the required ministerial training courses through the school of ministry. The credentialing of ministers is a process separate from the completion of the educational requirements.

ASOM is a non-accredited Bible institute. While endorsed by the Executive Presbytery of the General Council of the Assemblies of God for ministerial training, courses completed through the school of ministry do not automatically qualify for college credit.

I understand and agree to the disclaimers above.*

Coupon Code

Total

$0.00

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