1. Please select the School of Disciples Location: Alberta zone 1 (AB-1)Alberta zone 2 (AB-2)Alberta zone 3 (AB-3)Alberta zone 7 (AB-7)Alberta zone 8 (AB-8)Saskatchewan zone 1 (SK-1)Saskatchewan zone 2 (SK-2)Saskatchewan zone 3 (SK-3)Saskatchewan zone 4 (SK-4)Ontario zone 8 (ON-8)Regional HQ (Hamilton)

1. Please enter your Parish: *

1. Name
1. Last Name*
2. First Name, Middle Name*
2. Address
3. Street Address *
1. City *
2. Province AlbertaOntarioBritish ColumbiaSaskatchewan
1. Postal Code *
2. Country Canada
1. Date-of-Birth*
2. Gender* MaleFemale
3. Marital Status * SingleMarriedSeparatedWidowedDivorcedEngaged
1. Nationality
2. Ethnic Origin
1. Phone Number *
2. Mobile Number
3. Office Number
4. Email *
5. Please attach photo of yourself (jpg, max 2MB)*

1. Have you been born again? * YesNo
1. If yes, when? *
2. Where? *
2. Have you been baptized in the Holy Ghost? * YesNo
1. If yes, when? *
2. Where? *
3. Have you been baptized in water by immersion? * YesNo
1. If yes, when? *
2. Where? *
1. Church Name (Where baptism was conducted) *
2. Pastor's Name (Pastor who conducted the baptism) *

By checking this box, I hereby promise, if accepted as a student, to abide by the rules and regulations of the SCHOOL of DISCIPLES, to obey the Authorities of the school, and pray for them. I also promise to fulfill all financial obligations and not to put a stumbling block in the way of my fellow students.

1. Please answer the following quiz to prove you aren't a robot:
2. 5+15-2=