BASIC INSTITUTE
REGISTRATION INFORMATION FORM

    God has a wonderful purpose for your life.  We want to help you find and fulfill that purpose.
The following information will enable us to do that more effectively.
Please fill out the form as completely as possible.

     Date: 

     First Name: 
     Middle Name: 
     Nick Name (if any): 
     Last Name: 

     Street Address: 
     Address Line 2: 
     City:  State:  Zip Code: 
     Country: 

     Home Phone:  Work Phone: 
     Cell Phone:  Beeper: 
     FAX:  E-mail: 

     What is your gender?
 Male  Female     Birth date  Age 

     What is your marital status?
 Single  Married  Separated  Divorced

     If married, please give your spouses name. 
    (Spouse should also register if they desire to study.)

     Please give the name, gender, and age of your children.

    EDUCATION: List your education (secular and religious) beginning with the highest degree. Be             sure to include any discipleship or ministry training you've had through churches or    ministries.       Please give the name of the school, address, and date(s) you attended or earned your degree.

 

    WORK EXPERIENCE:  Beginning with latest job, please list the last four places you've
    worked.  Be sure and include ministry experience. Please give the dates of                                           employment, employer, employer's address, and position held.

     REFERENCES: Give three Christian references (your pastor and two others).
     Please give their name, address, and years known.

     SPECIAL SKILLS: List special skills you have (sewing, cooking, carpentry, plumbing, etc.)

      Why do you wish to study at BASIC Institute?

      TRAINING DESIRED

     Do you have an audiocassette or CD player? (please indicate which one) 

     Do you have regular access to a computer? 

     Do you have regular access to the internet? 

     What word processing program does your computer use? 

    We would like to get to know you better.  Please enclose a copy of yourpersonal testimony
     in 500 words or less, telling of your life before you were saved, how you found Jesus, and
     your life as a Christian.  Also, please also tell us if you are a member of, or fellowship with,
     a local church.

NOTE: To use this form the computer your using must allow E-mails to be sent directly from                           the computer; not an online E-mail site.  Also, please be sure it doesn’t get stuck in the                      computer outbox. You can send the registration from your online E-mail site by downloading                           the plain text version of the registration form, pasting it in the message your composing,                              filling it out, and E-mailing the message. You can download the text version here.

 You may register by regular mail. Print this form and Mail to:
      B.A.S.I.C. Institute
      P.O. Box 431
      Kiln, MS 39556 USA

      Please print this form to register by mail, and please print when filling it out.                                                            To print this form click here

FINANCIAL POLICY:
PLEASE READ GALATIANS 6:6 & 2 CORINTHIANS 8:12.

     BASIC INSTITUTE TRAINING is open to all who desire to learn, on a whatever you can afford love offering basis.
Since Jesus said, “freely you have received, freely give,” we offer everything in our ministry at no charge.
Over the years God has blessed through the generous donations of those who are able to give, and the needs have been met.  Tens of thousands have heard the gospel and many have come to know Jesus. Over a thousand have received training.     Whatever you can give to cover the cost of study material and other training expenses would be considered a blessing.

2 Corinthians 8:12 says, "it is accepted according to what one has, and not according to what he does not have."
If every person who is able to give, makes a donation then we will have enough to meet the needs.
Please pray for this ministry, and be as generous as you can. .
Make all checks in U.S. dollars & payable to Brothers and Sisters in Christ.
(According to U.S. Federal regulations love offerings for which you receive goods or services are not tax deductible)

If you would like to donate to this ministry,
you can do so by clicking here.
It's safe and secure.

            NOTE: To facilitate the natural process of spiritual growth our training automatically begins with the
            BASIC Christian Life course.  If you would like to study a different course send us a message telling us
            the course you want to study and why you want to study it, and we will try to accommodate your needs