Enrollment Agreement

CERTIFICATE IN MINISTERIAL STUDIES (CIMS)
ENROLLMENT AGREEMENT

The Church of God School of Ministry, located at 2492 Keith Street, Cleveland, TN 37311, 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

Program Length:
36 Months

Status of Student

Full-Time

Part-Time

Projected date of completion

Enter the date three (3) years from the date of application.

Name

First Middle Last

If you do not have a middle name, you may skip the middle name field.

Maiden Name

If applicable.

Social Security Number

Ministerial Number

Only applicable if you are a credentialed Church of God minister.

Date of Birth

Phone

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)

Twin Rivers School of Leadership

CityLife U

United School of Ministry

LifeLine U

Influencers College

DLC or DLS Location

Date I plan to begin my first CIMS course:

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).

CIMS Courses

Instructions: After reviewing the entire page, check the courses you plan to complete. A copy of this completed form will be sent to the email provided above.

CIMS Course Costs

Hidden

Select the courses you plan to complete.

This document is a guarantee of tuition cost for twelve hundred (1200) contact hours or twelve (12) months from the time of enrollment; programs less than twelve hundred (1200) contact hours must have a set total tuition.

Application Fee

A $25.00 application fee must be submitted before your application can be processed. All credit card information is confidential and encrypted.

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Application Fee(Required)

Price:

Total

Credit Card(Required)

Card Details

Cardholder Name

Signature

For the program entitled Certificate In Ministerial Studies (CIMS), I have been informed that for the July 1, 2019–June 30, 2020 period, the withdrawal rate is .183%, the completion rate is .004%, and the in-field placement rate is .004%. 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 Enrollment agreement to the Church of God School of Ministry, which details the total cost of the program and the refund policy.”

The Church of God School of Ministry verifies that by signing the agreement the institution understands its obligation to immediately provide the student an exact signed copy of the agreement.

I, the student, have read and understand this document.(Required)

Yes

Enter your name in the field below, and it will count as your signature.

Today's Date

Enrollment Agreement

CERTIFICATE IN MINISTERIAL STUDIES (CIMS) ENROLLMENT AGREEMENT

Enrollment Information

Background

CIMS Enrollment

CIMS Courses

Application Fee

Signature

CERTIFICATE IN MINISTERIAL STUDIES (CIMS)
ENROLLMENT AGREEMENT