Women's Thealogical Institute -Enrollment

Legal Name:
Address:
City	State	Zip
Phone(days)
Email:

It is best to call me:	Day Evening
You should ask for:

Are you a member of the congregation? Yes No

If yes, what is your member number

I think I'm a member, but I do not know my number.

You must be a member of RCG-I before your enrollment can be processed. If you would like to become a member, please go to the membership page after completing this form.

An Intial Deposit of $100 is required to enroll.

Program Costs
Per year	$560 -$355
Audit	$560 - $355
Optional: Verbal documentation	$50
Minimum Intial Deposit	$100

Please answer the following questions

Are you interested in pursuing ministerial credentials?

Yes No Uncertain

What amount on the sliding scale will you be contributing for your costs?

I will contribute:

I want to attend the following training site:

      Inland, CA
      Los Angeles, CA
      Washington, D.C.
      Indianapolis, IN
      Minnesota and Iowa
      Bellingham, WA
      Madison, WI
      Austin, TX

Intial Deposit: