Rhema-University/USCIA | Rhema University

U.S.C.I.A Badge Number

Name *

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Address *

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Country *

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Social Security #

Telephone *

Email *

Gender *

Place of Birth *

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Citizenship *

Date of Birth *

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Marital Status *

Spouse Name

Do you Plan to Attend *

Undergraduate Programs

Bachelor Degree Programs

Bachelor of Ministry
Bachelor of Christian Counseling

Graduate Programs

Previous Education Information

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Previous College 1

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Previous College 2

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Are You Ordained

If Ordained Select Title

Name on Debit/Credit Card *

For the dual Certificate of Chaplaincy with Rhema University and U.S.C.IA. The total amount will be $475.00.

Type Of Card *

Card Number *

3 Digit CSC ( On Back of Card ) *

Expiration Month *

Expiration Year *

Place Your Name Here As Your Signature *

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I 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 tox verification and will be confidential.

Teaching followers to become

Leaders.