Enrollment Application | On The Mountain Revival Centre

Before You Apply

Please ensure you have the following information ready:

Valid South African ID or Passport number
Educational background and qualifications
Church affiliation and pastoral reference details
Ministry experience (if applicable)
Emergency contact information
Accommodation preferences for contact sessions

Note: All fields marked with * are required. The application process typically takes 10-15 minutes to complete.

Personal Information

First Name *

Last Name *

ID/Passport Number *

Date of Birth *

Gender *

Nationality *

Contact Information

Email Address *

Phone Number *

Alternate Phone Number

WhatsApp Number

Residential Address *

City/Town *

Province *

Postal Code *

Program Selection

Desired Program *

Intended Intake Year *

Preferred Study Mode *

Educational Background

Highest Educational Qualification *

Institution/School Name

Year Completed

Previous Theological Studies

Ministry Experience & Church Affiliation

Current Church Name *

Pastor's Name *

Pastor's Contact Number *

Denomination/Affiliation

Years of Church Membership *

Current Ministry Involvement *

Are you currently in ministry leadership? *

Yes No Aspiring

Accommodation & Campus Preferences

Our campus is located at a mountain retreat camping facility. Please indicate your accommodation needs for contact sessions.

Preferred Accommodation Type *

Special Accommodation Needs

Accessibility/mobility assistance required Family accommodation needed Medical considerations

Dietary Requirements/Allergies

Emergency Contact Information

Emergency Contact Name *

Relationship *

Emergency Contact Phone *

Emergency Contact Email

Additional Information

How did you hear about us? *

Why do you want to study at On The Mountain Revival Centre? *

Personal Testimony (Optional)

Questions or Additional Comments

Financial Information

How do you plan to finance your studies? *

Self-funded Church-sponsored Applying for bursary Payment plan Other

Declaration

I hereby declare that all the information provided in this application is true and correct to the best of my knowledge. I understand that any false information may result in the cancellation of my application or enrollment. *

I consent to On The Mountain Revival Centre processing my personal information for enrollment and academic purposes in accordance with POPIA. *

After submission, you will receive a confirmation email with next steps. Our admissions team will contact you within 3-5 business days.

Need Assistance?

If you have any questions about the enrollment process or need help completing this form, please contact us:

Pieter Trollip

+27 62 124 2113

pieter@mountainrevivalcentre.co.za

Apply for 2026 Intake