Name of Institution *Contact Person's Name *Street Address *City *State/Province *ZIP / Postal Code *Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabwePhone *Be sure to include area code and phone numberEmail Address *Institutional Website *List the names, addresses, phone numbers and email addresses of all Officers of the institution: *Include full name, position, mailing address, phone number and email address for each Officer of the institution.List the names, addresses, phone numbers and email addresses of all Trustees/Regents of the institution: *Include the full name, mailing address, phone number, and email address for each Trustee/Regent of the institution.Is the institution a branch of a local church/ministry? *YesNoIf yes, provide the name, address and phone number of the local church/ministry:Does the institution issue Certificates and/or Diplomas? *YesNoIf yes, list the types of Certificates/Diplomas issued:Does the institution issue Theological Degrees? *YesNoIf yes, list the types of degrees issued:Do the facilitators of the educational offerings of the institution hold earned academic degrees? *YesNoList the major fields of study (concentration) of your various educational programs: *Does your institution have a course catalogue? *YesNoIf Yes, upload your current course catalog.Choose FileNo file chosenDelete uploaded fileDoes your institution have clearly defined academic and financial policies stated clearly in your catalog? *YesNoHow many locations, branches, and extensions does your institution have? *Please select an option1234We understand that by submitting this application, we are required to submit annual verification binder, along with reports of all graduates along with copies of their transcripts for verification purposes. *YesNoOur institution accepts the policies and procedures of NAPTI. *YesNoIs the institution affiliated with any other educational associations? *YesNoIf Yes, provide the name and website of said association(s).We understand that the initial application and annual membership in the National Association of Private Theological Institutions is $400.00 and we agree to submit our initial application and 1st year membership fee herewith. *AgreedWe hereby make application for membership in the National Association of Private Theological Institutions, and will operate in accordance with the rules, regulations and guidelines of the same. *Application AgreementCredit / Debit Card *Submit Application