Midwest Bible College Application Form

Midwest Bible College Application FormMidwest Bible2023-10-13T19:47:03+00:00

To apply for enrollment in campus classes at Midwest Bible College please complete the form below. When you have completed the application you will be prompted to submit the $50.00 application fee. Your application will be processed after both the application and application fee have been received.
Applicants will be asked to agree with the Midwest Bible College Code of Conduct when beginning classes.

GENERAL INFORMATION

Last Name *

First Name *

Middle/Maiden Name *

Home Number *

Cell Number *

Date of Birth (mm/dd/yy) *

Sex *

Male

Female

Name of Spouse

Mailing Address *

Apt#

City *

State *

Zip Code *

Email Address *

Birth City

Birth State

Are you applying for the Associates Program?

Yes

If you are applying for advanced standing and have arranged for transcripts of your previous Bible college attendance to be mailed to MBC please indicate that here:

Yes, I have requested my transcripts to be sent

If you are applying for advanced standing please state the program that you are applying for:

I am applying for *

Campus Classes

Online Classes

BACKGROUND INFORMATION

(Information taken to better serve you as a student)

Occupation *

How long?

Employer

Name of your local church *

Pastor's Name *

Church address *

Are you an ordained minister *

Yes

If Yes, How long have you been in full-time service?

Years as an ordained minister

Months as an ordained minister

Other information you feel we need to know about being an ordained minister

What denomination do you classify yourself as being?

Emergency Contact *

Relationship *

Emergency Contact Phone Number *

Emergency Contact Address *

ETHNIC ORIGIN*

(optional)

CITIZENSHIP

Country of Birth *

Are you a citizen of the United States? *

Yes

IF NO, ANSWER THE FOLLOWING QUESTIONS:

Of what country are you a citizen?

Are you a permanent U.S. resident?

Yes

Alien Registration #

Do you presently have a U.S. Visa?

Yes

If yes, what type of Visa?

Visa Exp. Date: (mm/dd/yy)

EDUCATIONAL INFORMATION

HOW DID YOU LEARN ABOUT MBC?

Referred by

Radio Station

Internet/Website

Television

Other, please specify

$50.00 NON-REFUNDABLE APPLICATION FEE MUST BE SUBMITTED WITH THIS APPLICATION BEFORE IT CAN BE CONSIDERED

I AGREE TO PAY ALL TUITION, BOOKS AND FEES PRIOR TO GRADUATION.

I ACKNOWLEDGE THAT MIDWEST BIBLE COLLEGE MATERIAL IS PROPRIETARY AND AGREE TO USE THIS ONLY FOR PERSONAL USE AND NOT TO DUPLICATE, PUBLISH OR USE IT FOR PROFIT.

I have filled out this application to the best of my ability and have been truthful to the best of my knowledge in answering all questions. I do hereby agree to abide by the high ethical standards of Midwest Bible College and to conduct myself in accordance to the expectation of Midwest Bible College so that my life will bring glory and honor to the Lord Jesus Christ

I have read the Statement of Faith of Midwest Bible College and agree to follow its doctrinal stand in accordance to the Word of God.

Signature *

Date (mm/dd/yy) *

Once the form has been submitted you will be brought to a page to process the $50.00 application fee. Your application will not be accepted until this payment is made.