Name of Church/Organization:___________________________________________________
Church/Organization Mailing Address:______________________________________
City:________________________________ State:__________Zip:______________
Phone: _____________________________________Other Phone:_______________
Name of Pastor or Individual:_____________________________________________
Contact person:________________________________________________________
Are any prospective students
currently attending AIHLS? [ ] No [ ] YES
If yes, list names below:
Name: ___________________________________
Name:____________________________________
By signing this application, it is agreed that the approved curriculum of the Arkansas Institute for Holy Land Studies shall be offered on a non-profit basis to qualifying students at the satellite location. It is also agreed that all required fees shall be paid to The Institute, with a minimum start-up cost equivalent to the tuition and fees required for at least one student (currently $385.00). The whole of the minimum cost may be remitted with this application, or 50% of the amount may be remitted with this application, with the remaining 50% due within 60 days after date of submission of this application. Students at the satellite location may pay for tuition and fees according to The Institute's standard payment options as outlined on the Application for Admission.
NAME (please print):____________________________________________________
SIGNATURE:______________________________ DATE:____________________
Payment may be made by check, cash, money order, or one of the following credit cards (please circle one) VISA --DISCOVER -- MASTERCARD-- AMERICAN EXPRESS
Name as shown on card (please print):_____________________________________
Card Number:___________________________________Expiration date:__________
Signature:_______________________________________
Teaching Articles by Dr. Ron Moseley Teaching Trips to Israel with Dr. Ron Moseley ![]() Arkansas Institute of Holy Land Studies 9700 Highway 107 Sherwood, Arkansas 72120 (1-800-617-6205) or 501-835-1453 or, FAX: 1-501-835-1453 rmoseley@cei.net |