Action Evangelism / KLU
Secure Online Form
 
   
 
 

Online Degree Campus Application

 

  I agree with Doctrinal tenets

   I will coordinate with KLU Administration and uphold its mission, purpose and vision
 

DATE

 

PERSONAL INFORMATION


Name  (e.i. Pastor John E Christian)             
  

Email
 
Phone            
 
CHURCH INFORMATION 

Church Name         

Street Address 

City  
 
State

Nation 
 
Zip/ Postal Code

Church Web Address  
 
We may post your website on  KLUonline.com.  You post (www.KLUonline.com) on your website to let people know about your campus.
           
REFERRAL
 
Name of Director over this campus application 
 
QUESTIONS OR COMMENTS