Explore B 2026 Application

Please fill out this form and click submit.

PERSONAL DETAILS

Name

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Phone

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Text Message Email

By submitting this form and signing up for texts, you consent to receive conversational text messages from Ellel Ministries USA at the number provided. Consent is not a condition of purchase. Msg & data rates may apply. Msg frequency varies. Unsubscribe at any time by replying STOP. Reply HELP for help. Privacy policy and Term & Conditions

What year did you complete Explore/Modular A?

Please fill out any area below that has changed.

Address

Gender

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Male Female

Birthdate

Marital Status

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Single Married Divorced Widowed

CHURCH INVOLVEMENT

Home Church Attended (Please include the name of the Church, denomination, and location

Length of time attended

Name and Address of Pastor

If you have only recently moved to the above Church, please state your reasons for moving.

Select Payment Option*

First month's payment ($210) 2026 full tuition ($ 1890)

Amount

*Tuition is $2100 for the year. This can be paid in 10 payments of $210 or you can pay in full and receive a 10% discount.

Upon approval of your application, you will be emailed a tuition agreement.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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Explore B 2026 Application

Description

Please Fix the Following