Elim Bible Institute - Alumni Update Form

Alumni and Friends

Alumni Update Form

If your information has changed, you can use this form to inform us of these changes. Thank you!

*First Name:

Middle Initial:

*Last Name:

Maiden Name:

*Email Address:

Has any of your contact infomation changed? If no, please skip down to the next section. Yes No

Address & Contact Information

Street Address:

City:

State:

Zipcode:

Country:

Home Phone:

Work Phone:

Cell Phone:

Spouse & Family

Spouse Name:

Is Spouse an EBI Alumni? Yes No

If Yes, and this question applies to you, what was their maiden name?

Children's Names?

Occupation & Education

What is your current occupation?

Did you go on to the further education after Elim? Yes No

If Yes, what is the highest degree you completed?

Associates Degree
Bachelor'S Degree
Master's Degree (MA, MS)
Professional Master's Degree
(MBA, MSW, MSE, MSN, MDIV, EdD, DBA)
Ph.D
Other:

If yes, where did you attend?

Are you currently participating in some type of ministry? Yes No

If yes, what position?

Is this ministry: (Check all that apply)

Full Time Ministry
Part Time Ministry
Volunteer Ministry
Local Church Service
Other:

Any Prayer Requests?