Grace Fellowship International Counseling Institute Initial Application Form Thank you for your interest in GFICI. Please fill in this form and e-mail, mail or fax it to our office.  (To e-mail, block and copy this page and paste it into your e-mail utility; fill in the needed information and send it to cathgfi@aol.com.) If you have any questions, feel free to call, e-mail or write. Full Name (please print) ____________________________________________________ Mailing Address _________________________________________________________ _______________________________________________________________________ City __________________________ State ________ Zip _____________ Shipping address (if different) ____________________________________________ ____________________________________________________________________ City __________________________ State ________ Zip _____________ Daytime Telephone (________) __________________________________ Evening Telephone (________) __________________________________ E-mail Address ________________________________________________ Date of Birth ________ / ________ / ________ o Male o Female Previous education High School:_______________________________________________________ Post-secondary education: ____________________________________________ _________________________________________________________________ My computer is a PC (Windows) ______ or Mac_____ with a CD-ROM drive. I agree to the policies and instructions governing the study program set forth by the GFI Counseling Institute catalog. I understand that the Biblical Counseling Diploma does not certify one as a state-licensed psychologist/counselor. I agree that it is my responsibility to verify the applicability of course work toward my educational goals. Please send a letter of personal testimony (before or during the first course) concerning your salvation in Christ and goals relating to the GFICI Biblical Counseling courses. You may begin the program with this application and the $25.00 fee. (This fee can be paid separately or included with the amount required for the first course.) You may register for the first course GFEL1 by using the course enrollment form. Student's Signature ________________________________________________ Date ____________________________ ~~~~~~~~~~~~~~~~~~~~~   Please send to: Grace Fellowship International Counseling Institute P.O. Box 368 Pigeon Forge, TN. 37868 Phone: 865-429-0450; 1-888-66GRACE Fax 865-429-0144 cathgfi@aol.com john@gracenotebook.com