APPLICATION FOR ADMISSION. Name Mailing Address: Permanent Address:

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1 APPLICATION FOR ADMISSION Please type or print neatly in BLOCK CAPITALS (with ballpoint pen only) all information. The following items are required in the application process. All information should be submitted to admissions office on or before the due date. Recent Photo Personal Information Name Mailing Address: Permanent Address: Tel. No. address: Gender: Male Female Date of Birth (Date/Month/ Year): Birth place: In the past five years, have you had any serious illness, either physical or emotional, which required professional treatment? Yes No. If Yes, explain Describe briefly your life goals in Christian service. How did you learn about LBC and what are the reasons you are applying for the program? Application Page 1

2 Education Information Name of the School/College attended Class District Result Enrolment Information Program for which you are applying: Diploma in Theology (Dip. Th.) Bachelor of Theology (B. Th.) Master of Divinity (M. Div) (With Special emphasis on Holistic Child Development) Church Information Church Denomination: Church Name: Address: Tel. No. Name of Pastor: I hereby make application to LBC and affirm that, to the best of my knowledge, all information on this document is complete and accurate. / / Date Signature of Applicant... FOR OFFICIAL USE Date Received: Remark: Principal Academic Dean Date: Course: Send to: Principal Living Bible College, Ayinato P.O. Box 278 Dimapur , Nagaland (India) Mobile: , Application Page 2

3 Recommendation Form Applicant s Name: This recommendation is from a (Check one): Pastor Church Secretary Youth Leader Women Leader This individual named above is applying for admission to LBC. Thank you for your part in this important phase of the applicant s life. 1. In view of your knowledge of the applicant, how do you assess his or her abilities and character in the following categories as compared to his or her peers? Ability to study in English Willingness to learn Willingness to help others Commitment to ministry Moral life Spiritual life Self-discipline Relationship with opposite sex Spoken & written skills in English Leadership skills Not Very Out- Observed Weak Fair Average Good Standing 2. How well do you know the applicant? Very well Rather well Casually Not well In what capacity? Application Page 3

4 3. Please provide us with a statement concerning the applicant s personality, character, and also an assessment of his/her strength and weakness. 4. Do you see this person as someone whom you would recommend as your pastor or church staff member, or like to work with as a colleague? Yes No Unsure 5. I recommend this applicant for admission to LBC. Highly recommend Recommend Recommend with reservation Do not Recommend 6. Name: Signature: Date: Church: Position/Title: Address: Tel. No. SEAL: Application Page 4

5 Financial Form Dear Sponsor, Please complete this form and return to the applicant for mailing to Living Bible College. It is our policy that the fees are paid at the time of admission. Thank you for your financial support of the applicant. May the Lord bless you richly! Name of the Applicant: Name of the Sponsoring Organization/Individual: Address: Tel. No. I/We hereby pledge to sponsor the studies of Mr/Miss at Living Bible College. Signature: Date: Application Page 5

6 Medical Assessment Form (To be completed by a physician) Living Bible College is an institution that trains up men and women for Christian ministry. Please fill up this form carefully to the best of your knowledge and return it to the student in a sealed envelope. The information you provide is an important part in our decision making. Thank you for your cooperation in this matter. Name of the Applicant: Name of the Doctor: Name of the Hospital/Clinic: Address: Tel. No How long has the applicant been under your medical care? 2. Has the applicant been treated for any illness in the past year? Yes No 3. Are you aware of any health restrictions that would prevent the applicant from performing his/her studies? If so, please state below: 4. Based on your examination, please rate the applicant s current health condition by checking any box below: Good Poor Additional Comments (If necessary) Signature Date Please affix the seal of your Hospital/Clinic and return this completed form to the applicant in a sealed envelope. Application Page 6

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