*Original or Amended form:
*Last Name (Use only your family name with proper capitalization of the first letter):
*First Name (Use only your given name with proper capitalization of the first letter):
Middle Initial (If used- and use proper capitalization):
Suffix (II., III., Jr., Sr., etc.):
*Today's Date- use the calendar:
*Your Email:
*Verify Your Email:
*Street or PO address:
*City:
State:
AK-Alaska
AL-Alabama
AR-Arkansas
AZ-Arizona
CA-California
CO-Colorado
CT-Connecticut
DC-District of Columbia
DE-Delaware
FL-Florida
GA-Georgia
HI-Hawaii
IA-Iowa
ID-Idaho
IL-Illinois
IN-Indiana
KS-Kansas
KY-Kentucky
LA-Louisiana
MA-Massachusetts
MD-Maryland
ME-Maine
MI-Michigan
MN-Minnesota
MO-Missouri
MS-Mississippi
MT-Montana
NC-North Carolina
ND-North Dakota
NE-Nebraska
NH-New Hampshire
NJ-New Jersey
NM-New Mexico
NV-Nevada
NY-New York
OH-Ohio
OK-Oklahoma
OR-Oregon
OT-Other
PA-Pennsylvania
RI-Rhode Island
SC-South Carolina
SD-South Dakota
TN-Tennessee
TX-Texas
UT-Utah
VA-Virginia
VT-Vermont
WA-Washington
WI-Wisconsin
WV-West Virginia
WY-Wyoming
Other Other:
*Country:
United States
Canada
Mexico
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Terr.
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands/Malvinas
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Terr.
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Is.
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Lao People's Dem. Rep.
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Is.
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
St. Vincent & Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
S.Georgia & S.Sandwich Is.
Spain
Sri Lanka
St. Helena
St. Pierre & Miquelon
Sudan
Suriname
Svalbard & Jan Mayen Is.
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
U.S. Minor Outlying Is.
Uruguay
Uzbekistan
Vanuatu
Vatican (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis & Futuna Is.
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Other Other:
Zip or Postal Code (If you have one:)
Phone:
Cell Phone:
Work Phone:
Fax:
URL:
*Gender:
Male
Female
*High School (12th grade) graduation date:
*High School Name:
High School Address:
GED- enter year:
CHURCH INFORMATION: If you currently have no Church, please enter None.*Church Name (Do not use abbreviations):
Enter name of Denomination or affiliation in the next field. If it is an Independent Church, please enter Independent in that field. (Do not use abbreviations.)
*Church's Affiliation:
*Pastor's Name:
Pastor's Phone:
Pastor's Email:
MINISTRY INFORMATION: Are you currently or have you ever been involved in a 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, Church janitorial, Church bus or van driver, etc., whether paid staff or volunteer staff? Use a comma to separate multiple ministries in the "Past and Present Ministries" field.*Years In Ministry, if currently fulltime (number only.):
Past and Present Ministries (List ALL Christian service):
SPIRITUAL INFORMATION: *How long have you been saved:
*When were you Baptized (Year):
-= Select =-
None
2040
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1920
1919
1918
1917
1916
1915
*Baptized by (Name of Church, NOT name of person):
OTHER INFORMATION: *Why do you want to study with us?: 500 characters remaining.
*Birth Month:
-= Select =-
January
February
March
April
May
June
July
August
September
October
November
December
*Birth Day:
-= Select =-
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31
*Birth Year:
-= Select =-
1930
1931
1932
1933
1934
1935
1936
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1946
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2057
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2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
*Age:
Age
16
17
18
19
20
21
22
23
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25
26
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110
*City of Birth:
State of Birth (if born in the USA):
AK-Alaska
AL-Alabama
AR-Arkansas
AZ-Arizona
CA-California
CO-Colorado
CT-Connecticut
DC-District of Columbia
DE-Delaware
FL-Florida
GA-Georgia
HI-Hawaii
IA-Iowa
ID-Idaho
IL-Illinois
IN-Indiana
KS-Kansas
KY-Kentucky
LA-Louisiana
MA-Massachusetts
MD-Maryland
ME-Maine
MI-Michigan
MN-Minnesota
MO-Missouri
MS-Mississippi
MT-Montana
NC-North Carolina
ND-North Dakota
NE-Nebraska
NH-New Hampshire
NJ-New Jersey
NM-New Mexico
NV-Nevada
NY-New York
OH-Ohio
OK-Oklahoma
OR-Oregon
OT-Other
PA-Pennsylvania
RI-Rhode Island
SC-South Carolina
SD-South Dakota
TN-Tennessee
TX-Texas
UT-Utah
VA-Virginia
VT-Vermont
WA-Washington
WI-Wisconsin
WV-West Virginia
WY-Wyoming
*Country of Birth:
United States
Canada
Mexico
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Terr.
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands/Malvinas
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Terr.
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Is.
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Lao People's Dem. Rep.
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Is.
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
St. Vincent & Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
S.Georgia & S.Sandwich Is.
Spain
Sri Lanka
St. Helena
St. Pierre & Miquelon
Sudan
Suriname
Svalbard & Jan Mayen Is.
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
U.S. Minor Outlying Is.
Uruguay
Uzbekistan
Vanuatu
Vatican (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis & Futuna Is.
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Other Other:
*Other schooling considered for credit transfer: 500 characters remaining.
Scan and submit transcripts or attach transcript files (up to 10).
LIFE EXPERIENCE: 1. Please list all Life Experience that you would like considered for credit.2. Separate experience areas with commas.3. Do NOT include any Ministry Experience in this Life Experience field.
Life Experience (Do NOT include Ministry Experience in this field):
By checking the following box student is verifying that all information on this form is accurate to the best of his or her knowledge. *Information Accurate:
If you are applying for a particular program such as, Master's program, Doctoral program, etc., or you wish to add any other pertinent information to your Application, please feel free to do so in this field.
Comments: characters remaining.
ACCURATE INFORMATION: Make sure the information is accurate before submitting this form.
SUBMISSION OF MORE THAN ONE FORM: To prevent accidental submission of multiple forms, only one form per hour is allowed from each IP. Should you need to submit an Amended form with a change of information, you will need to wait at least one hour to do so.
UNUSED APPLICATIONS:
If you do not sign in and begin studying a course within 30 days, then this Application will be discarded. We know if you are studying at least one of the courses because you will submit a Begin Sign In form and, after meeting the minimum required attendance for the first lesson, you will have submitted a lesson test. Receipt of that test, pass or fail, will verify that you have started your courses. If we receive no correspondence from you within 30 days of the date you submitted this Application, then we will discard this Application because of non-use.
We have found it necessary to include the following second warning to all applicants: If you do not use proper letter-case on all entries on this form, your Application will be rejected. You are not allowed to use all upper-case letters, nor are you allowed to use all lower-case letters on this form. This includes when you input your name (the most common infraction) and when inputting information into the various other fields- comments, other schooling, etc. This is a college; therefore, college-level work is expected of all students at all times.
- THIRD AND FINAL WARNING - You were instructed, twice, to NOT use all upper-case or all lower-case letters when filling out this form. By checking the "Yes" box you are verifying that you have followed these instructions when filling out this form. You are also verifying that you understand that if you did not follow those instructions your Application will be rejected . It is imperative that students follow all instructions exactly. The instructions are given to enable students to have the best chance of receiving an education in the Word of God. Failure to follow instructions will negate that possibility at the worst or, at the least, make it extremely more difficult. Dr. Van
*I verify that I have used proper letter-case for all information submitted on this form:
*Have you ever submitted an Application to us in the past?
*Have you taken courses from us in the past?