INTERNATIONAL CHRISTIAN WOMEN'S HISTORY PROJECT

GENERAL INFORMATION

Name:
Address:
Email:

INTEREST LEVEL

	I am definitely interested in enrolling.
	I may be interested in enrolling.

MAIN AVENUES FOR STUDY

	Live Courses in the Dallas-Fort Worth Metroplex
	Live Courses in Tulsa, OK
	Internet Study
	DVD Home Study
	CD Home Study
	Would like you to conduct classes in my area

COURSES
Select the top 3 courses of interest to you.

1.
2.
3.

EDUCATIONAL HISTORY
Certification, Specialized Training, or Degree(s): Completed? _____ Year completed: ______ Institution: (Note: Repeat this as many times as needed.)

MAIN ACTIVITIES IN MINISTRY OVER THE YEARS
Function/Activity: Location: Institution: Year(s): (Note: Repeat this as many times as needed.)

In no more than 150 words, explain why you
want to enroll in the Christian Women’s Studies Program.