BSM Student Application

Welcome! We are blessed you are considering enrollment with BSM Please submit your Application for consideration and approval with our enrollment team! (REGISTRATION IS FREE *Approval Based Upon Minimum Requirements

First Name

Last Name

Phone

Address

What School Year are You Applying for (2nd & Third Year Require Prior Year Completion) *

1st Year

2nd Year

3rd Year

How Did You Hear Bout Us *

Friends

Social Media

Church Service

Events

Other

What Brings You To Ministry School? *

Christian Living (Learn More)

Ministry (Called To Ministry)

Ordination & Licensing (Persuing Acredidation)

Are You Saved? *

Yes

Not Sure

Do You Pray in Tongues *

Yes

Beliving for Tounges

I Don't Pray in Tongues

Are You a Member of BreakOut Church?

Yes

Plan on Becoming a Member

I'm a Member of another Church

If You are a Member of Another Church

Have You been to Ministry School Before *

Yes

If You Attended Ministry School or College

Do You Tithe? *

Yes

Plan on Tithing

Unable to Tithe at the Moment

Do You have any Prior Certificates, Diplomas, Licensing or Ordination? (If So, Please Upload)

Upload File

Upload supported file (Max 15MB)

Student Tuition Ranges from $50 to $100 Per Month, will you be able to meet tuition requirements during the year (Scholarship Opportunities may be Available) *

Yes

Not Sure

Tell us about yourself & Your Goals

Please Share any Questions You may have for our Enrollment Team

Thanks for submitting!

BREAKOUT CHURCH

216.417.0600

SERVICE TIMES

Sundays @ 11AM

Wednesdays @ 7pm

Main Cleveland Heights Campus

2490 Lee Blvd. New Unit #214