Center Pointe Church - College Registration

First Name

Last Name

Email

Phone Number

Address 1

Address 2

Country

City

State

Zip/Postal Code

Month

Day

Year

Semester Requested

Highest Level of Education

Are you a Member of Center Pointe Church?
Yes
No

If not, what church are you currently a member of?

Do you serve at your church?
Yes
No

Describe the departments in which you serve and your duties.

Do you currently serve in leadership at your church?
Yes
No

If you do currently serve in leadership at your church, what capacity do you serve in?

Describe your conversion to Christ:

Describe your call into ministry:

Describe any special gifts or talents you have: