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Course Enrollment

You can download the course enrollment form and email it to or fill out the form below..

If you have already completed the admissions process, please be sure to use the same name, email and phone as that application.

Personal Information
First Name:  
Middle Initial:  
Last Name:  
Address:  
City:  
State:  
Zip Code:  
Email:  

 
Home Phone:  
Cell Phone:  
Course Selection

Please select from one of the courses below:  




Program Cost

Total cost for the entire program is $400.00 includes:

  • Coaching
  • Resource and Textbook refund (first class only)
  • Mentoring

At a minimum, payment of one class $100.00 is required to enroll. Or you can pay for the entire program now.
You will be taken to a page for payment information after submitting the enrollment form.

Signature

Program Disclosures:

By my signature I understand and agree to the following:

  • I authorize the program director to use my information for the purposes of SESOM.
  • I give consent for Leadership coaching and mentoring to occur.
  • I understand that this program neither leads to nor guarantees employment.
  • I understand that this program is not accredited by any major accrediting agency.
  • I understand that upon successful completion of the entire program I will receive a "Certificate in Christian Ministry" from the Southeast Region of Open Bible Churches.
Signature:  
Date: