Leading Edge Application 2019 • Capital Edge Church

First Name *

Last Name *

Mobile Phone *

Email Address *

Gender

Home Address Line 2

Home City

Home State

Home Zip Code

When did you commit your life to Jesus?

Have you been baptised in water?

Have you been filled with the Spirit with the evidence of speaking in tongues?

How long have you attended Capital Edge?

Course Load *

Tip: Do you intend to study part time? Module options for part-time study are available for selection in the drop-down menu.

Stream of Study *

Assessed or Audit? *

Part Time Options

These external modules can be completed in your own time.

Tip: Please indicate if you intend to study these modules externally, or leave as "NONE" if completing all modules face to face.