| Name: |
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| Address: |
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| Phone: |
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| Email: |
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| Citizenship: |
Gender:
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| Marital Status: |
(Check all that apply)
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Never Married
Married
Widow/Widower
Separated* |
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Divorced*
Remarried*
Single Parent*
Is your spouse in agreement with you attending Bible College?
Yes
No
Entrance Date:
Will you be residing in the dorms?
Yes
No* |
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*Please provide explanation:
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Education: |
High School from which you have or will graduate: |
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Name of School:
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Phone:
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Date of Graduation:
Are you being home schooled?
Yes
No |
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Have you taken the ACT or SAT I examination?
Yes
No |
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Do you expect to transfer credits from another institution?
Yes
No |
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Colleges attended: |
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College Name:
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Dates attended:
Degree received?
Yes
No
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College Name:
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Dates attended:
Degree received?
Yes
No |
Family: |
Father's Name:
Living
Deceased |
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Mother's Name:
Living
Deceased |
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Occupation:
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Father's Permanent Address:
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City:
State:
Zip:
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Mother's Permanent Address:
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State:
Zip:
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Confidential: |
Have you trusted Jesus Christ as your Saviour?
Yes
No |
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Name of Church:
Phone:
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Church Mailing Address
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State:
Zip:
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CHECK APPROPRIATE BOX: |
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Have you been treated for any nervous, mental, or emotional disorder?
Yes
No |
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Have you ever used illegal or dangerous drugs?
Yes
No |
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Do you in any way use alcoholic beverages?
Yes
No |
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Do you use tobacco in any form?
Yes
No |
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Were you ever expelled, dropped, or suspended by any school or college?
Yes
No |
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Are you or have you ever been under the supervision of a parole officer?
Yes
No |
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Have you ever been arrested for any reason?
Yes
No |
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Does the college have permission to do a criminal background check?
Yes
No |
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If you are single, are your parents in agreement with you attending?
Yes
No |
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Do YOU want to attend Fellowship Baptist College of Indiana?
Yes
No |
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If any answer above is affirmative, please give complete details below, an explanation will also need to be submitted from the doctor, principal, court, administrator, or parole officer, as applicable to the question: |
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Recommendation: |
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Financial Responsibility: |
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I hereby make application to Fellowship Baptist College of Indiana and will submit a $40.00 application fee either online or by mail. (Please mail to Fellowship Baptist College of Indiana ATTN: APPLICATIONS 1150 State Road 144 Mooresville, Indiana 46158) I also understand that the fee will be retainded to cover the cost of processing my application. I understand that during the processing of my application I will be asked to pay the matriculation fee of $50.00, which is refundable, only if Fellowship Baptist College of Indiana refuses to admit me as a student.
I hereby certify that this application is true and complete. Upon matriculation I agree to comply properly with the doctrines, rules,and regulations of the institution and to maintain standards of conduct in accordance with the aims and objectives of Fellowship Baptist College of Indiana. I give the college my approval to gather information from all educational institutions, which I have attended, together with other records and references that it deems necessary for the processing of my application, and in some cases, to run a credit check on my past financial decisions. If I leave before the end of the semester for any reason, I will owe any fees accrued during my stay.
If under 18 a parent or legal guardian of the student making application must read and agree to the above statements. |
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Name:
I agree
I disagree |
| After submitting your application you will be given the option to pay your application fee online. |
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Testimony of applicants salvation experience: |
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