Please complete every item on this form that applies to you, sign and date the application, and return it to the Office of Admissions along with a recent photo and $30 non-refundable fee payable to All Saints Bible College. Failure to complete every item on this form may delay processing.
U.S. Social Security Number:
First Name:
Last Name:
Middle/Maiden:
Current Mailing Address:
Number & Street: Apartment no.:
City: State: Zip: Country:
Home Phone: E-mail address:
Date of Birth (mm/dd/yyyy):
Gender: Male Female
Ethnicity: other:
Educational Plans
For what term are you applying? Year:
Are you seeking a certificate or degree?
If "Yes", please indicate which:
If "No", do you plan to take coursework for audit or credit?:
Secondary Educational Information
High School (name): Location:
Graduation Date: Date Received the GED: Issuing Agency:
Post-Secondary Educational Information (list schools that you have attended beyond high school)
Name: Location: Dates Attended: Major: Certificate/Degree Earned:
Name: Location: Dates Attended: Major: Certificate/Degree Earned:
Employment & Financial Information
Are you employed? Name of Employer:
Location: Phone: Your Occupation/Title
How do you plan to finance your education at the Bible College? (Check all that apply):
Savings Parents Home Church Part-time Work Loan Scholarship G.I. Bill Matching Funds
Religious Information (optional)
Your denomination or religious tradition:
The local church that you attend or serve:
Location: Pastor/Minister's Name:
How do you serve in your local church?
If you are a member of the Church of God in Christ, supply the following information:
Jurisdiction Bishop's name Women's Supervisor
Are you Licensed or Ordained? Date of Ordination:
Denomination/Church issuing above credentials:
To what form of Christian service do you want to devote your life?
Military History
Military status: Branch of Service:
Dates of Military Service: Type of discharge:
Marital Status
What is your marital status?
Health/Medical Status
Are you currently under any form of medical or psychiatric care?
If yes, please explain:
Emergency contact person:
Name: Relation to You: Address Phone
Housing Plans
What housing will you use?
Reference Information
Pastor's Name Address (number & street)
City State Zip Country Telephone
Other reference (not a relative) who has known you for at least three years:
Name Address (number & street)
City State Zip Country Telephone
I certify that the information in this application and supporting documents are accurate and true. I further certify that giving false information or withholding information may make me ineligible for admission or continued enrollment at All Saints Bible College.
Applicant's Signature: Date:
Copyright All Saints Bible College 2002. All Rights Reserved.
