IMI Scholarship Application

First Name *

Last Name *

Mailing Address *

City *

State *

Zip Code *

Country

Telephone *

Email Address *

Date of Birth *

How did you hear about this scholarship? *

Have you attended IMI Live previously? *

Yes

No

Have you applied for a IMI Live Scholarship before? *

Yes

No

What type of scholarship are you applying for? *

In-Residence - Pensacola, Florida

Digital Online Scholarship at www.imilive.org ($1000 off Tuition)

Are you attending a local church (if out of state) in your area? *

Yes

No

If "Yes" to the question above what church are you attending?

Please list who your pastor is here & phone number if applicable

Do you tithe to your local church?

Yes

No

Please tell us what drew you to International Miracle Institute?