More Information

Please complete the following form completely:

Full Name

Mailing Address (Complete Mailing Address)

City, Province/State

Postal / Zip Code

Your Church

Denomination

Email

Phone

Program of Interest:
    2 Year - YMI - Associate of Arts in Youth 4 Year - YMI - Bachelor of Arts

Please send me:
    YMI Application
    YMI Catalogue
    PLBC Catalogue & Viewbook
    Student Handbook
    Course Description Packet
    Information on Visiting the Campus

Please have the following person(s) contact me:
    YMI Director, Clint Nelson
    YMI Faculty Member
    Current YMI Student
    YMI Graduate

Please describe your level of interest in YMI:
    Somewhat Curious Very Interested I am Coming

When would you like to begin/enroll?
    Spring (January) 2008 Fall (September) 2008 Spring (January) 2009 Fall (September) 2009 Other

How are you currently involved in youth ministry?
    I volunteer in youth ministry I want to be involved in youth ministry My church pays me to work with youth

Your grade/education level:
    Grade 10 Grade 11 Grade 12 Studying at College Adult in the Workplace

Your birthday:
    01 02 03 04 05 06 07 08 09 10 11 12 (MM) / 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (DD) / (YYYY)

Comments/Questions:

How did you hear about YMI?
    

 

 

The Youth Ministry Institute of Pacific Life Bible College
15030 - 66A Avenue, Surrey, BC  V3S 2A5 CANADA

Toll Free: 1-877-597-7522 x251 or 604-597-9082 x251
Fax: 604-597-9090  Email: ymi@pacificlife.edu