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Online Application
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Personal Information
Surname:
*
First Name and Middle Initial:
*
Date of Birth
*
month
January
February
March
April
May
June
July
August
September
October
November
December
day
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Gender:
*
Male
Female
Social Insurance Number:
Correspondence Address
Primary Address:
*
Phone:
*
Work Phone:
Email Address:
(Only if checked regularly)
Present Address (if different from above):
Citizenship Status:
*
Canadian Citizen
International Student (Student Visa required)
Permanent Resident (please indicate effective date below)
Other (please explain below)
Citizenship Details:
Emergency Information
Health Card #:
Healthcare Province/State:
Emergency Contact:
*
Phone:
*
Relationship:
*
Family Information
Marital Status:
*
Single
Engaged
Married
Widowed
Divorced
Date of Marriage
month
January
February
March
April
May
June
July
August
September
October
November
December
day
1
2
3
4
5
6
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Full Name of Spouse:
Child(s) Names (and birthdates):
Parent's Name(s):
Phone:
Email:
Reference Form Information
Spiritual Advisor:
*
Phone:
*
Email:
Friend Reference:
*
Phone:
*
Email:
Church Background
Name of Present Church:
Length of Attendance:
Church Contact Name:
Phone:
Email:
Church Address:
Please describe any previous ministry involvement:
Educational Background
Please have educational transcripts forwarded directly to the Mount Carmel Registrar.
High School:
Name / Location:
Date Attended:
Level Achieved:
Please describe any previous formal Biblical instruction:
Post-Secondary 1:
Name / Location of Institution:
Date Attended:
Level Achieved:
Post-Secondary 2:
Name / Location of Institution:
Date Attended:
Level Achieved:
Enrollment Intention:
Please list any other schools to which you have presently applied
Employment History
Employer 1:
Position:
Date:
Contact:
Employer 2:
Position:
Date:
Contact:
Additional Information
Additional Medical Info:
Please let us know if you have any health problems that will affect your ability to function in a learning environment.
Personal Essay:
Please attach a brief essay (300-500 words) telling us of your family, school experience, Christian growth, Christian service experience, reason for application to Mount Carmel, and future plans.
How Did You Hear About Mount Carmel?:
Church
Sumo Youth Event
YC Booth
Missions Fest Booth
Magazine Ad
Website
Facebook Ad
Breakforth Booth
Friends
Camp
Alumni
(please check all that apply)
Certification:
*
I agree that:
1. I have read and understood the Mount Carmel Statement of Faith. 2. I hereby certify that the information given in this application and attached essay is complete and true in all respects, and also that I agree to be governed by the policies and regulations of Mount Carmel should my application be accepted.