CrossView College of Prayer
Office: P.O. Box 159 Calhoun, LA 71225 (318) 644-2216

(Tuition is $35.00 per course.)

Print out this application form and mail it to us, or copy and paste into an email:

Student Information:

1. Name__________________________________________________________________
(Last Name) (First) (Middle)

2. Telephone(s) where you can be reached: Day ____________Evening____________

3. Mailing Address__________________________________________________________
_________________________________________________________________________
(City) (State) (Zip)

4. E-Mail address______________________________________

Educational Background:
Names of Schools you've attended & degreess you received:
1.

2.

3.

4.

Church Background:

1. Where is your present church membership? (List ways you've been involved)

2. Why do you want to receive the Cross View College of Prayer Extension Study courses?

A. _____Personal spiritual growth. B. _____To use as Bible class curriculum.

C. _____For our church library. D. _____For sermon research. E. _____Other.

3. How did you hear about the CrossView College of Prayer?

CrossView College of Prayer

Keith Roberts, Dean