Student Application *Note: the following form cannot be saved and completed later. Please account for this when filling out the form.* Personal Information Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Date of birth * MM DD YYYY Email * Marital Status * Primary Language * Do you have any physical disabilities, serious illnesses, or allergies? * Yes No If yes, please explain: Do you have any food allergies? * Yes No If yes, please explain: Emergency Contact Information Name * First Name Last Name Relationship to you * Phone * (###) ### #### Family Information Father's Name * Father's Phone * (###) ### #### Mother's Name * Mother's Phone * (###) ### #### Address (if different than yours) Address 1 Address 2 City State/Province Zip/Postal Code Country Spiritual Information When did you receive Jesus as your personal Savior? * When were you baptized in water? * When were you baptized by the Holy Spirit? * How are you currently involved in your church? * Have you read the entire Bible? * Yes No If yes, how many times? Please rate your knowledge of the Bible: * Above average Average Below average Poor How much preaching experience do you have? * Above average Average Below average No experience Do you have musical abilities? * Singing Playing an instrument Other If other, please specify: Please rate your singing abilities: * Above average Average Below average No experience Please rate your playing abilities: * Above average Average Below average No experience Church Information Name of the church you attend * Denomination * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Fax # (If you know it) Web-site Are you a member of the church? * Yes No Professional/Educational Information Please list any schools/colleges you have attended (incl. high school): * List any degrees, number of years you attended, and whether you graduated or are currently enrolled Are you currently employed? * Yes No If yes, please list your occupation: Which languages do you speak? * Which language would you prefer for lectures? * List some of your skills/talents that can be useful during studying for school: Background Information Have you ever been: Arrested? Convicted? Do you use or have ever used Tobacco? Alcoholic beverages? Drugs? Witchcraft? If you answered "yes" to any of the above, please explain: Missionary Information Please list any missionary trips that you participated in: Please specify the place (country and city) and time Do you plan to go on a missionary trip after Bible School? * Yes No If yes, for how long? Please list your citizenship: If you are not a U.S. citizen, do you have any document that allows you to leave the country? Yes No If yes, what kind of document? Document expiration date MM DD YYYY Why did you decide to come to Bible School? * What ministry do you see yourself in at your local church? * Signature Signature (full name): Date MM DD YYYY Thank you! Your response has been recorded.
