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Are You Ready?

To begin your journey with Mokahum Ministry Center, please complete and submit our application form below.

Following the submission, our staff will arrange an interview with you to further discuss your goals and aspirations.

Upon acceptance, you will receive a letter of acceptance along with an information packet containing all the necessary details to prepare you for this enriching experience.

We look forward to receiving your application and welcoming you to the Mokahum family!

To apply, please complete and submit our application form below.

Application Form

Application Form

 

PERSONAL INFORMATION

Name
Name
First
Last
Gender
Enrolled Member

 

EDUCATIONAL INFORMATION

 

OTHER INFORMATION

 

REFERENCES (please provide different references and complete all reference information):

Reference #1

 

Reference #2

 

HEALTH / MEDICAL INFORMATION

Do you have Medical Insurance?
Do you Smoke or us Tobacco Products?
Do you have or have you ever had problems with any of the following (check all that apply):

By signing, I confirm my interest in enrolling at Mohakum Discipleship Ministry and all information provided on this application is accurate to the best of my knowledge. I agree to abide by the community life standards set forth by the MDM and give permission for a background check to be conducted as required for all MDM students. I understand a formal review of the Student Handbook will be conducted during Orientation and I will again be asked to sign my acceptance of the conduct expected of me as an MCD student.

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