APPLICATION INSTRUCTIONS STEPS TO ADMISSION

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1 APPLICATION INSTRUCTIONS visionbaptistcollege.org Thank you for your interest in Vision Baptist College, a ministry of Solid Rock Baptist Church. The purpose of our college is to train committed Christians for a lifetime of service in the Lord s work. To be considered for admission, please carefully complete the following steps. When all application materials have been received, you will be contacted regarding acceptance for enrollment. If you have any questions about the status of your application, feel free to contact the Vision Baptist College Office. STEPS TO ADMISSION 1. APPLICATION FOR ADMISSION Complete the application form and submit it to the College Office. Please be sure to attach a recent photograph of yourself to the application. 2. STUDENT HEALTH FORM Fill out the Student Health Form and submit it to the College Office with your application. 3. TRANSCRIPT REQUEST FORM AND ACADEMIC RECOMMENDATION Use the provided Transcript Request Form to submit your official high school transcript and/or any college transcript(s). All transcripts must be mailed directly from your high school and college to the College Office. Home-school students should have their grades mailed in by the person or institution that documents their daily progress. If you have completed the GED, your official scores should be sent to the College Office. 4. PASTORAL RECOMMENDATION FORM Request your pastor complete this form and send it directly to the College Office. You should provide them with a stamped envelope addressed to the college. 5. PERSONAL REFERENCE FORM Request that someone well-acquainted with you, complete this form and send it directly to the College Office. You should provide them with a stamped envelope addressed to the college. 6. PARENTAL RECOMMENDATION FORM (For students under the age 21) - Have a parent complete this form and send it directly to the College Office. 7. ACT or SAT RESULTS Have your test scores sent to Vision Baptist College from the testing agency. Be sure to use your full name, address, and ZIP Code when corresponding with Vision Baptist College. Also, be sure your name is on all forms before you distribute them to others to fill out. APPLICATION INSTRUCTIONS

2 APPLICATION INSTRUCTIONS

3 STEP ONE: APPLICATION FOR ADMISSION applying for: Fall Semester 20 Spring Semester 20 select one: On-Campus Student Off-Campus Student include passport-size photo here PERSONAL INFORMATION (Please print with an ink pen.) first name: middle: last: address: city: state: zip: phone: birthdate: ssn: Male Female current marital status: Never Married Married Separated* Widow/Widower *Send letter of explanation with application. Engaged Divorced* Remarried* citizenship: United States Other: FAMILY INFORMATION father s name: (If not living, indicate deceased.) home address: phone: work number: mother s name: (If not living, indicate deceased.) home address: phone: work number: If married, your spouse s name: If you have any children, their names and ages: APPLICATION FOR ADMISSION 1

4 CHRISTIAN TESTIMONY INFORMATION Have you trusted Jesus Christ as your Savior? Yes No Please briefly give your salvation testimony: Do you attend church regularly? Yes No church name: address: pastor: city: phone: state: zip: How many years have you attended this church? (If less than one year, please list your previous church s name.) ACADEMIC INFORMATION education: High School GED graduation date: (or expected date) high school name: address: city: phone: state: zip: Have you taken the SAT? Yes No Have you taken the ACT? Yes No POST-SECONDARY SCHOOLS ATTENDED College Years Completed: School Name: Dates Attended: Degrees Earned: School Name: Dates Attended: Degrees Earned: School Name: Dates Attended: Degrees Earned: INTENDED FIELD OF STUDY Major: Minor: (If any) APPLICATION FOR ADMISSION 2

5 ADDITIONAL INFORMATION Who will finance your educational training? (Check all that apply.) Myself Parents Other Have you been denied enrollment or expelled from any school? Yes No Have you ever been charged with or convicted of a felony? Yes No Have you ever been charged with a violation of the law which resulted in probation, community service, a jail sentence, or the revocation/suspension of your driver s license? Any past problems/incidents we should know about? (If yes, please briefly explain.) Yes Yes No No APPLICANT ESSAY (Approximately 750 words) Please send us a typed essay including all five points below: Your personal love for the Lord Jesus Christ Why you desire to enroll in Vision Baptist College How you can be a blessing to Vision Baptist College What you would like God to do with your life in the future Why you are determined to become a good Christian leader ACCEPTANCE AGREEMENT I certify that this application is true and complete with no omissions in any area. I understand that: if I have misstated anything on my application, I am eligible for immediate dismissal; Vision Baptist College affords to students of every race, color, national/ethnic origin all the privileges, programs, and activities generally available, and does not discriminate on the basis of race, color, and national/ethnic origin in administration of its admissions and educational policies, scholarship, loan, athletic, and any other school-administered programs; I do agree: attending Vision Baptist College is a privilege granted to those who maintain a godly testimony and the desired standard of scholarship. to pay my financial obligations to Vision Baptist College in a timely manner, to maintain standards of conduct in accordance with the objectives of Vision Baptist College. Vision Baptist College reserves the right to determine which students are admitted and has the authority to dismiss any student at any time who, in the opinion of the administration, does not maintain the standards of Vision Baptist College. Signature of Applicant: Date: Be sure to use your full name, address, and ZIP Code when corresponding with Vision Baptist College. Also, be sure your name is on all forms before you distribute them to others to fill out. APPLICATION FOR ADMISSION 3

6 APPLICATION FOR ADMISSION

7 STEP TWO: STUDENT HEALTH FORM PERSONAL INFORMATION applicant name: ssn: address: city: state: zip: EMERGENCY INFORMATION (Two persons we may contact in case of emergency.) name: phone #1: relationship to applicant: phone #2: address: city: state: zip: name: phone #1: relationship to applicant: phone #2: address: city: state: zip: HEALTH INSURANCE INFORMATION company: policyholder: group/policy number: ssn: IMMUNIZATIONS (List month, date, and year for each.) Rubella (German Measles): Rubeola (Measles): DPT: Mumps: OPV: Tetanus: Do you have any physical limitations or disabilities? Yes No (If yes, please explain and indicate any treatment.) STUDENT HEALTH FORM 1

8 Are you allergic to any medication, food, or substance? Yes No (If yes, please explain and indicate any treatment.) Will you need any injections during the school year? Yes No (If yes, please list type of injection.) List any medications/dosage regularly needed. Prescribed for: MEDICAL HISTORY Hospitalizations Please include diagnosis and dates. Surgeries Please include type of surgeries and dates. Please check any condition you have or have had in the past. Anemia (including sickle cell anemia) Infectious Mononucleosis (past six months) Heart Disease/Problems Asthma Malaria Hemophilia Blindness (complete or partial) Cancer, Leukemia, Hodgkin s Disease Migraine Headaches Pneumonia Hepatitis Herpes Chronic Kidney Infection Rheumatoid Arthritis High Blood Pressure Diabetes/Insulin Stomach Ulcers HIV Epilepsy/Seizures Thyroid Trouble Hypoglycemia Hearing Loss (complete or partial) Tuberculosis IBS/Crohn s Any additional comments: Where there is no vision, the people perish: but he that keepeth the law, happy is he. PROVERBS 29:18 STUDENT HEALTH FORM 2

9 STEP THREE: TRANSCRIPT REQUEST and ACADEMIC RECOMMENDATION FORM SECTION ONE: TO BE COMPLETED BY THE APPLICANT I authorize the release of the following information to be considered as part of my application for admission to Vision Baptist College. I understand that it will be kept confidential, and will not be released to me or anyone else. applicant name: date of graduation: address: city: state: zip: phone: Please send an official copy of my transcript to: applicant signature: SECTION TWO: TO BE COMPLETED BY THE SCHOOL ADMINISTRATOR Do you know any reason this applicant would not be suited to attend Vision Baptist College? Yes No If yes, please explain. Do you believe this applicant will be able to successfully complete their college course of study? Yes No If yes, please explain. Has this applicant been classified with a learning disability? Yes No administrator name: title: school name: address: city: state: zip: phone: signature: date: Please send this completed form along with the official transcripts to Vision Baptist College. This information is confidential and will not be made available to the student. This student s application cannot be processed further until we hear from you. TRANSCRIPT REQUEST AND ACADEMIC RECOMMENDATION FORM

10 TRANSCRIPT REQUEST AND ACADEMIC RECOMMENDATION FORM

11 STEP FOUR: PASTORAL RECOMMENDATION FORM SECTION ONE: TO BE COMPLETED BY THE APPLICANT (After completing section one, please give this form to your pastor.) I authorize the release of the following information to be considered as part of my application for admission to Vision Baptist College. I understand that it will be kept confidential, and will not be released to me or anyone else. applicant name: address: city: state: zip: phone: applicant signature: Please send this completed form to: SECTION TWO: TO BE COMPLETED BY YOUR OR A RECOMMENDING PASTOR 1 How well do you know this applicant? Very Well Well Somewhat 2 Approximate number of years you have known this applicant: 3 To your knowledge, has the applicant accepted Jesus Christ as personal Savior? Yes No 4 To your knowledge, has the applicant followed Christ in believer s baptism? Yes No 5 How would you rate the applicant s walk with God? Excellent Good Average Fair Not Sure 6 How would you rate the applicant s dependability? Excellent Good Average Fair Not Sure 7 How would you rate the applicant s general intelligence? Excellent Good Average Fair Not Sure 8 How would you rate the applicant s attitude? Excellent Good Average Fair Not Sure 9 Please rate the applicant s separation from worldliness: Excellent Good Average Fair Not Sure 10 To your knowledge, does this applicant tithe and pay his/her bills? Yes, as far as I know No Not Sure 11 Do you believe this applicant is able to handle the normal college workload, activities, and requirements?. Yes No (If no, please explain on reverse side.) 12 Do you believe this applicant has good potential for ministry service? Yes No (If no, please explain on reverse side.) Does this applicant have any significant factors in his/her Yes No (If yes, please explain on reverse side.) background about which we should be aware? In considering this applicant, Yes, w/ enthusiasm Yes, w/ caution (please explain) No (please explain) would you recommend him/ her? 15 Do you approve of this applicant attending Vision Baptist College? Yes No (If no, please explain on reverse side.) PASTORAL RECOMMENDATION FORM 1

12 ADDITIONAL PASTORAL COMMENTS (Additional comments for no answers from page one.) please list any ways you feel this applicant is especially gifted: PASTORAL CONTACT INFORMATION name: church name: address: city: state: zip: phone: signature: date: Thank you for taking the time to fill out this form. Your input will be taken seriously. If you wish to give any additional input, please call Pastor Charles Clark III on his cell phone at Please do not give this recommendation form back to the applicant, but mail it directly to the administration. PASTORAL RECOMMENDATION FORM 2

13 STEP FIVE: PERSONAL REFERENCE FORM SECTION ONE: TO BE COMPLETED BY THE APPLICANT (After completing section one, please give this form to your personal reference.) I authorize the release of the following information to be considered as part of my application for admission to Vision Baptist College. I understand that it will be kept confidential, and will not be released to me or anyone else. applicant name: address: city: state: zip: phone: applicant signature: SECTION TWO: TO BE COMPLETED BY THE PERSON RECOMMENDING THE APPLICANT 1 How well do you know this applicant? Very Well Well Somewhat 2 Approximate number of years you have known this applicant: 3 To your knowledge, has the applicant accepted Jesus Christ as personal Savior? Yes No 4 To your knowledge, has the applicant followed Christ in believer s baptism? Yes No 5 How would you rate the applicant s walk with God? Excellent Good Average Fair Not Sure 6 How would you rate the applicant s dependability? Excellent Good Average Fair Not Sure 7 How would you rate the applicant s general intelligence? Excellent Good Average Fair Not Sure 8 How would you rate the applicant s general attitude? Excellent Good Average Fair Not Sure 9 Please rate the applicant s separation from worldliness: Excellent Good Average Fair Not Sure 10 To your knowledge, does this applicant tithe and pay his/her bills? Yes, as far as I know No Not Sure 11 Do you believe this applicant is able to handle the normal college workload, activities, and requirements?. Yes No (If no, please explain on reverse side.) 12 Do you believe this applicant has good potential for ministry service? Yes No (If no, please explain on reverse side.) Does this applicant have any significant factors in his/her Yes No (If yes, please explain on reverse side.) background about which we should be aware? In considering this applicant, Yes, w/ enthusiasm Yes, w/ caution (please explain) No (please explain) would you recommend him/ her? PERSONAL REFERENCE FORM 1

14 ADDITIONAL COMMENTS (Additional comments for no answers from page one.) please list any ways you feel this applicant is especially gifted: PERSONAL CONTACT INFORMATION name: address: city: state: zip: phone: signature: date: Thank you for taking the time to fill out this form. Your input will be taken seriously. Please do not give this recommendation form back to the applicant, but mail it directly to the administration. PERSONAL REFERENCE FORM 2

15 STEP SIX: PARENTAL RECOMMENDATION FORM SECTION ONE: TO BE COMPLETED BY THE APPLICANT (After completing section one, please give this form to your parent.) I authorize the release of the following information to be considered as part of my application for admission to Vision Baptist College. I understand that it will be kept confidential, and will not be released to me or anyone else. applicant name: address: city: state: zip: phone: applicant signature: SECTION TWO: TO BE COMPLETED BY A PARENT 1 Has your son/daughter accepted Jesus Christ as personal Savior? Yes No 2 Has your son/daughter followed Christ in believer s baptism? Yes No 3 How would you rate your son/daughter s walk with God? Excellent Good Average Fair Not Sure 4 How would you rate your son/daughter s dependability? Excellent Good Average Fair Not Sure 5 How would you rate your son/daughter s general attitude? Excellent Good Average Fair Not Sure 6 Please rate your son/daughter s separation from worldliness: Excellent Good Average Fair Not Sure 7 Please rate your son/daughter s maturity: Excellent Good Average Fair Not Sure 8 Does your son/daughter tithe and pay his/her bills on time? Yes, as far as I know No Not Sure 9 Do you believe your son/daughter is able to handle the normal college workload, activities, and requirements?. Yes No (If no, please explain on reverse side.) 10 Does your son/daughter have any significant disabilities? Yes No (If no, please explain on reverse side.) 11 Do you believe he/she has good potential for ministry service? Yes No (If no, please explain on reverse side.) 12 Does your son/daughter get along well with others? Yes No (If no, please explain on reverse side.) 13 Do you approve of your son/daughter attending this college? Yes, w/ enthusiasm Yes, w/ caution (please explain) No (please explain) PARENTAL RECOMMENDATION FORM 1

16 ADDITIONAL PARENT COMMENTS (Additional comments for no answers from page one.) For what type of part-time employment is your son/daughter prepared/qualified? Is there anything helpful you would like us to know about your son/daughter personally or in reference to their applying for enrollment at Vision Baptist College? Please mention any ways your son/daughter is especially gifted: PARENTAL CONTACT INFORMATION name: address: city: phone: state: zip: signature: date: Thank you for taking the time to fill out this form. Your input will be taken seriously. If you wish to give any additional input, please call Pastor Charles Clark III on his cell phone at Please do not give this recommendation form back to the applicant, but mail it directly to the administration. PARENTAL RECOMMENDATION FORM 2

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