APPLICATION FOR SATELLITE SCHOOL STATUS

Akansas Institute of Holy Land Studies
9700 Hwy 107
Sherwood, AR 72120
1-800-617-6205
1-501-835-1453
FAX: 1-501-835-6504

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