| 1. |
Last Name:
First Name: Middle Name:
Email Address: Age:
Sex:
|
| 2. |
Mailing
Address:
Street: City: State: Zip:
|
| 3. |
Permanent
Address (if different):
Street:
City: State: Zip:
|
| 4. |
Telephone
No.: Date of Birth:
|
| 5. |
Social
Security # Height: Weight:
Hat Size:
Hair Color: Eye Color:
|
| 6. |
Marital
Status: Spouse (Name):
Number of Children:
|
| 7. |
Educational background: Name of High School:
Graduate/GED:
Yes No
Year graduated: If not a graduate, show highest year
completed:
(
9
10
11 12 )
|
| 8. |
College or
Specialized training; (
Yes No
)
List College(s) and type(s) of degree(s) presently
held:
|
| 9. |
What
type(s) of ministry are you presently involved in? (Be specific)
|
| 10. |
What are
your ministry goals?
|
| 11. |
How long
have you been a Christian? (Write a brief conversion testimony)
|
| 12. |
Church you
presently attend on a regular basis:
Address:
City: State: Zip:
Pastor's
Name:
Telephone
#
|
| 13. |
Present
Occupation:
Co./Org.:
Street: City: State: Zip:
|
| 14. |
Nearest
Relative: Relationship:
Address:
Street: City:
State:
Zip:
Telephone No.: Telephone No. (Wk/Alt):
|
| 15.
|
Degree/Diploma desired: (Choose which you currently
plan to apply.)
Diploma in Biblical Studies Associate in Biblical
Studies
Associate in Theology Bachelor Master Doctorate
|
| 16. |
Field of Study(s) desired: (Choose the one for
which you currently plan to apply.)
Theology (Divinity)
Christian
Counseling
Pastoral Theology
Christian
Administration
|
| 17. |
Do you
qualify for Advanced Standing Status? (Yes No)
I will send within 10 days a
Christian service resume. (
Yes No )
|
| 18. |
I will
send a recommendation for enrollment in this Christian
College
from my Pastor or Christian leader who has known me for
more than one year.
(
Yes No )
|
| 19. |
I heard
about Midwest Bible Training Center
by:
Magazine Adv.
Internet Pulpit Helps Personal
Reference
If personal reference, give name of person
referring:
|
| 20. |
Health
Status: Excellent
Generally Good
Average
Poor
Major Health Problems:
Have
you ever been treated for emotional/mental condition? (
Yes No )
If yes, explain:
|
| 21. |
Have you
ever been disciplined by a church, a pastor,
or a Christian
leader? ( Yes No )
If yes, explain:
|
| 22. |
Do you
presently smoke, use narcotic drugs or alcohol; participate
in
child molestation, lesbianism, homosexuality, etc.? (
Yes
No
)
If yes, explain:
|
| |
Your
application cannot be processed until the $25.00 application fee is
paid.
Would you like to make this payment now? Yes No |
