Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gender

Male

Female

Date of Birth

YYYY

Age

Place of Birth

U.S. Citizen?

Yes

Marital Status:

Marries

Single

Divorced

Widowed/Widower

Spouse's Name (if applicable)

High School Attended or Diploma Equivalent

Please list high school attended or diploma equivalent and graduation/completion date.

Previous College Experience

Please list all previous college experience including degree and graduation date

Note

Please have all official transcripts attached form each College you attended or listed above. These may be mailed with the application to the address listed above or submitted in person. Only copies will be retained.

Signature:

I, the undersigned, do hereby affirm that all of the information that I have entered on this form is accurate and complete to the best of my knowledge. I also do hereby understand that deliberately falsifying any information that I have listed on this form is grounds for rejection of my enrollment application.

EXPERIENCE OF FAITH

Church Name

Pastor's Name

Church Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Church or Pastor Email

Church or Pastor's Phone

(###)

###

####

Applicant's Testimony of Salvation

Please write a clear presentation of your salvation experience

APPLICANT'S EXPECTATIONS

Are you applying for the Associate's Degree Program?

Yes

Are you applying for BOTH the Associate's and Bachelor's Programs?

Yes

If you have ever attended another Bible College, how long did you attend?

Have you ever received a degree from another Bible College?

Yes

Applicant's expectations for attending Northeast Georgia Bible College?

Note: All applicants desiring a degree from Northeast Georgia Bible College will be required to attend at least 85% of all classes in person unless otherwise arrangements have been made. Excused absences will require making up any missed course work or testing. Northeast Georgia Bible College hereby reserves the right to grant any applicant a diploma from this college upon satisfactory completion of designated course material. Effort and dedication to studied course material will factor in to the final overall grade of each course. This College reserves the right to dismiss any student that conveys a consistent opposition to the Bible Doctrines taught from this institution. Our goal is to teach anyone with a teachable spirit. I hereby agree to respect all Covenants and By-laws upheld by this Institution.

Application Date

YYYY

Enrollment Application