P Rhema University Student Application Rhema University Student Application Please enable JavaScript in your browser to complete this form.Previous or Current Chaplaincy Badge NumberName *FirstMiddleLast Address *FirstMiddleLastCountry *FirstLastSocial Security #Telephone *Email *Gender *Male Female Place of Birth *FirstMiddleLastCitizenship *United StatesOther Date of Birth *FirstLastMarital Status *Single MarriedRe- Married SeparatedDivorcedWidowed Spouse Name Do you Plan to Attend *Full Time Part Time Undergraduate Programs Chaplaincy CertificateCertificate of Ministry Associate of Theology Associate of Christian CounselingAssociate of MinistryBachelor of Ministry Bachelor of Theology Bachelor of Christian Counseling Bachelor of Elem. EducationGraduate Programs Choose One Masters of Ministry Masters of Theology Masters of Christian Counseling Doctor of Ministry Doctor of Theology Doctor of Christian Counseling Previous Education InformationFirstMiddleLastCollege/UniversityFirstMiddleLastCollege/UniversityFirstMiddleLastAre You Ordained NoYes If Ordained Select Title Choose OneSenior Pastor Assistant Pastor DeaconElder Bishop ApostleBachelor Program "Degree Conversion Program"Bachelor of MinistryBachelor of Christian CounselingIf you re a current Chaplain and would like to Join RU Chaplaincy AssociationUnited States Fee $300 plus shipping and handlingUnited States with Badge, ID & Certificate $375 plus shipping and handlingOutside the United States with Proper Documentation $200 plus shipping and handlingOutside the United States with Proper Documentation with Badge, ID & Certificate $275 plus shipping and handlingTuition for New Chaplaincy StudentsTotal tuition is $575To be contacted by Rhema University AdmissionsName on Debit/Credit Card *Rhema University Chaplaincy Certificate Program, your card will be charged a $575 tuition fee. Type Of Card * VisaMasterDiscoverCard Number *3 Digit CSC ( On Back of Card ) *Expiration Month *010203040506070809101112Expiration Year *2023202420252026202720282029Place Your Name Here As Your Signature *FirstLastI have read this online presentation of Rhema University and agree to abide by the standards as set forth. I have told the truth to the best of my ability on this application. I further acknowledge that no other representations have been made to me in writing or orally other than what is stated in this online presentation. I understand that all information given in this application is subject to verification and will be confidential. I, the applicant, stated that all information is true. Any bad action and behavior on my part is not the responsibility of Rhema University Chaplaincy Association. With my signature, I accept that I'm responsible for any wrongdoing using my ID or Badge assigned by Rhema University.NameSubmit Application