Please print or type. It is important to complete
all information.
PART I:
1. Last Name ___________________________First Name
______________Middle___________
2. Street Address ____________________________________
E-mail_______________________
City___________________________State________Country_____________Postal Code
_____
3. Home phone _____________________________ Office phone
_________________________
4. Date of Birth ______ /______
/________ 5. SSN ______-_____-______. Sex
______
6. Church
Membership____________________________________________________________
7. Pastor's Name___________________________________________Phone
________________
8. Pastor's Address
______________________________________________________________
City________________________State________Country_______________Postal Code
______
PART II:
1. Christian Life Experience (CLEP) you may apply for course
credit toward part or all of your Associate Degree. Please send a resume
of Christian experience with documentation. Total years of Christian
Service______ Type(s) of Service ______________________________
2. Education (check all that apply): High School
_________GED___ _____College Degree_______
List all colleges, universities, schools and seminars
attended. Include workshops, certificate courses and
other significant formal training. Attach legible
copies of diplomas, certificates, transcripts or other verifiable documentation
of training. Evaluation for course credits will be made by the information
you supply.
School or College
Attended
Location
Dates
Degree/Certificate
1. _______________________________ ______________
_________ _____________________________
2. _______________________________ ______________
______________________________________
3. _______________________________ ______________
______________________________________
4. _______________________________ ______________
______________________________________
PART III:
Application
Checklist
A.____I desire
a GED and enclose 12th grade exams from home school____Christian School___.
B.____I would like to take the GED exam (Send $100.00 Fee).
C.____I am a Pastor and desire Diplomas for my graduating
students.
1.
____ I have attached a written account of my salvation experience (Ministers
Only).
2.
____ I have attached a resume of my life, work and ministry experience (CLEP
only).
3.
____ I wish to enroll in the following checked program (check only
one):
____Christian Worker Certificate ___Teacher
Certificate ____Pastoral
Certificate
____Associate Degree ____Bachelors
Degree ____Masters Degree ___Doctoral
Degree
4.
___I have enclosed $25 (U.S. nonrefundable Canada $35 nonrefundable) as the
application fee
5.
___I have enclosed $______for the cost of the ___________________degree program
and for cost of the textbooks (see catalog textbook
prices)
6.
___(Optional) I have chosen to pay my tuition in full and enclosed $______
tuition and
$_______
for textbooks for the ______________________degree
program.
7.
___I have enclosed a current photograph of myself for school
records.
This
application must be completed and signed before it will be processed.
If you have questions about the
application
process, please call or email.
________________________________________
__________________
Signature
of
applicant
Date signed
_____________________________________________
Signature
of applicant's parent (if applicant is under age
18)
Help
us serve you and future ATBC students better:
1.
How did you find out about Apostolic Theological Bible
College?_______________________
________________________________________________________________________________
2.
Who recommended you to ATBC?
__________________________________________________
_______________________________________________________________________________
CONSUMER PROTECTION NOTICE: APPLICANT
HAS A RIGHT TO RESCIND THIS ENROLLMENT APPLICATION WITHIN THREE (3) BUSINESS
DAYS WITH A FULL REFUND OF ALL PAYMENTS MADE. ALL RESCISSIONS SHALL
BE BY CERTIFIED US MAIL AND THE POST MARK SHALL DETERMINE THE DATE OF
RECESSION. ATBC WILL REFUND ALL PAYMENTS IF THIS AGREEMENT IS CANCELED
WITHIN 30 DAYS OF DATE ACKNOWLEDGED. THIS IS TO CERTIFY THAT
I,
, THE HEREIN NAMED APPLICANT HAVE READ THIS CONSUMER PROTECTION
NOTICE.
&nàf
Signature
Print
Name
Date
"Apostolic Theological Bible College . . . The Change Is
Forever!"