Salt Lake Bible College

Application/Life Experience Form

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  Original form      Amended form 
You must indicate if this is an original or an amended form.
If you applied previously, at any time in the past no matter how
long ago, then you must indicate that this is an "amended form."
CAUTION:  If you have submitted a previous Application form at any time in the past and you are submitting this one to correct some information on that Original form or to update your registration to begin over because of a lapse of time or because we requested that you do so because of a lapse of time, then you must mark this form as an "Amended form."  If you fail to do so then this form will be Disallowed and you will have to resubmit it and you will not be recognized as a registered student until you do so.  There will be no exceptions to this requirement because if you fail to follow this rule then you will cause a large amount of unnecessary work here at the college.  Setting up a new file necessitates quite a bit of time investment in file construction.  Then, when a previous file surfaces, more time is spent in reconciling the past file and the present file and having to combine them and then eliminate one of the files.  In addition, the staff must then spend more time in locating and eliminating the automatic filing filters that were set up for the duplicate account.


   ATTENTION- these guidelines must be followed:
      DO NOT use nicknames. Use only your legal name on all forms submitted to SLBC.
         Your academic file and all degrees issued will use the name you submit on this form.
      Use proper capitalization of all information.  Do not use all upper-case letters or all lower-case letters.
      Do not use titles such as "Pastor, Reverend, Bishop, etc." in the name fields because we file alphabetically.

      If you do not follow these guidelines then your Application will be rejected.  If you do not follow these guidelines
         you will still receive an autoresponse welcome email telling you to continue; however, you will then receive
         notification that your application has been rejected and you will have to resubmit it following the guidelines exactly.

Last Name (Family Name): *
First Name (Personal Name): *
Middle Initial:
Suffix: (II., III., Jr., Sr., etc.)
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:  *
   (Educational Institution through the 12th grade.)
High School address: 
 *
Address, City, State and/or Country, Zip (if you have one)
High School Graduation date:  *

 

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.

   If you do not have a Church, then you are exempt from this requirement.

   The purpose of the form is to make sure your pastor knows and approves of the fact that you
are taking courses from us.

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 a dormant 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 such as filing of further forms or tests.
   If there has been no contact with the applicant during that 30 day period, then the application
will be considered inactive.  If there has been no contact with the applicant during a further 60 day
period, then the applicant will be dropped.  If the applicant decides to continue with us and
contacts us again after the 90 day period has elapsed, they will have to reapply by submitting
an "Amended" Application form.

 

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

 

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© 2007 by Dr. T.E. VanBuskirk
and Salt Lake Baptist College
All rights reserved.
Revised: August 07, 2010