This form is for an individual applying on behalf of a group of students. You will
be responsible for the attendance, participation and conduct of these students.

Group Enrollment Form

Personal Information:

Name(Required)
Address(Required)

Church affiliation:

Home Church Address

Ministry Reference:

(If you are a pastor yourself you may nominate someone in a church leadership position to provide your reference. FDMI will contact this person directly - please ensure their contact details are correct)

Personal Testimony:

Please indicate course you are enrolling for:

FDMI Statement of Faith:
I acknowledge that all statements on this application are true to the best of my knowledge. As a student of FDMI, I will at all times conduct myself as a Christian, faithfully and diligently apply myself to the coursework as required by the FDMI’s curriculum, and submit to the authority of the faculty and administration, all to the glory of my God and Savior, Jesus Christ.

Do you agree to FDMI statement of faith?