APPLICANT´S FORM

 
Fill out the required information on each blank and click on the button: ‘send to SEL’.  If you would like to change a detail, press the button ‘to restore´ and the form comes back to its original state. The data is directly sent to the registration office of the SEL.
 
Program of Studies:

       
 
       
PERSONAL INFORMATION :
       
Father´s last name

Mother´s last name

    
Name
     
Addresse
     
District
Province
State
Telephone
Email
    
Sex
Date of Birth

Place of birth

Identification
Civil Status

Spouse’s name
Document Nº
       

Number of sons

Health status
Do you take any medicine?

Studies

Details of professional Studies

Details of Theological Studies

Occupation
¿Do you have any debts?

Financing

Date of conversion

Date of baptism

    
:

 
     

Your Church

  

Your denomination

  

Curch’s Addresse

  
District
  
Province
  
State
  

Pastor’s name

  

Pastor´s phone number

  
     
     
Write your testimony and describe your relationship with your church:  
 
  Why do you want to study at the Lima Evangelical Seminary , and what do you expect to a chieve through these studies?