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_____Application

_____$50.00 Registration Fee

_____Recent photo of yourself

_____Two References

_____Copy of Driver’s License or some form of legal identification

_____Transcript (if applicable)

_____Copy of High School or GED Diploma (if applicable)

Application for Admission

First name

Last name

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Phone

Birthday

Month

Day

Year

Community and Christian Affiliations:

Name of High School:

High School Address:

Did you graduate?

Yes

Date of Graduation:

Name of all Educational Institutions Attended (to include dates & degrees earned):

Recent Photo of Yourself

Copy of Driver’s License or some form of legal identification

Transcript (if applicable)

Copy of High School or GED Diploma (if applicable)

Reference #1

Please include name, email address and phone number of your reference.

Reference #2

Please include name, email address and phone number of your reference.

Signature

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BIBLE COLLEGE AND THEOLOGICAL SEMINARY

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