Application Form

Personal Information: * Star indicates a required field

Last Name:	*
First Name:	*
Middle Initial:
Address:	*
Address 2:
City:	*
State: Country:	* *
Zip Code: If you have	* no Zip Code, enter "none" in this box.

Home Phone:
Work Phone:
E-mail:	*
URL:
Birthdate:	*
Sex:	Male Female *

High School name:	*
High School address:	* Address, City, State or Country, Zip (if you have one)
High School Graduation date:	*

Current Date *

Church Information:

Church name:	*
Pastor name:	*
Pastor phone:	*
Pastor e-mail: If pastor has	* no email- enter "none" in this box.

Ministry Information:
Are you currently in the ministry- Pastor, Associate pastor, Sunday School or other Church staff or other Church ministry such as Rescue Mission, Prison Ministry, Jail Ministry, Street preaching, regular visitation, Christian School, etc., whether paid staff or volunteer staff? *
Yes No

What ministries have you ever been involved in?*
Enter "None" if you have never been involved in a ministry.

What ministries are you currently involved in?*
Enter "None" if you are not currently involved in a ministry.

Years in the ministry- total? *Enter a "0" if you are not in the ministry.

Spiritual information:

How long have you been saved?	*
When were you baptized?	*
Where were you baptized?	* (Name of Church)

Educational Information:

Why do you want to take classes from us? *


Other advanced schooling (past 12th grade)- include Colleges, Institutes, organized curriculum at your Church, etc. Please include name of institution/church, number of credits, and degrees earned. If you have no schooling past the 12th grade, please enter "None" in this box.*

NOTE #1: A pastor recommendation is required for all students unless they are the pastor. You will find a link to this form in the left-hand Navigation bar on any pages that have the Navigation bar.

NOTE #2: A certain number of those who submit applications to SLBC never begin classes.
Due to the high volume of applications, we can only keep an application on file and active for a limited period of time because it takes staff time to continue following up on the inactive applications. In addition, it is a waste of the resources over which God has made us stewards to continue following up on applications from those who have changed their mind or have dropped their intention of taking classes from us for whatever various reasons. Therefore, we have instituted a policy of only keeping applications active for a maximum of 30 days without some type of communication from or interaction with the applicant. If there has been no contact with the applicant during that 30 day period, then the application will be discarded. If the applicant decides to continue with us and contacts us again after the 30 day period has elapsed, they will have to reapply.

SPAM PREVENTION
When you are finished with this form, enter "yes" in this box.
(Do not enter the quotation marks. Word is case sensitive.)

back to CLASSES

Salt Lake Bible College

Application/Life Experience Form

back to CLASSES

© 2007 by Dr. T.E. VanBuskirk
and Salt Lake Baptist College
All rights reserved.
Revised: October 17, 2008

Salt Lake Bible College

Application/Life Experience Form

back to CLASSES

© 2007 by Dr. T.E. VanBuskirk and Salt Lake Baptist CollegeAll rights reserved. Revised: October 17, 2008

© 2007 by Dr. T.E. VanBuskirk
and Salt Lake Baptist College
All rights reserved.
Revised: October 17, 2008