Calvary Chapel Bible College Nepal G.P.O. Box: 8975 E.P.C: 1563 Kathmandu, Nepal

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1 Calvary Chapel Bible College Nepal G.P.O. Box: 8975 E.P.C: 1563 Kathmandu, Nepal New Student Application For students that have never enrolled in CCBC classes. Basic Information Last Name: First Name: Middle Name: Address: Male Female City: State: Zip/Postal Code: Country: Home Phone: Mobile Phone: Date of Birth: / / Place of Birth (city, state, country): Month Day Year Citizenship: Passport #: SSN (U.S. students only) How did you hear about the Bible School? Marital Status: Single Married Divorced Widowed Currently in Relationship Emergency Contact Information: Name: Relationship: Address: City: State: Zip/Postal Code: Country: Home Phone: Mobile Phone: Medical Information Use a separate sheet of paper if necessary Are you in good health? Yes No If no, explain: List any major illnesses you have had: Do you have any diseases? Yes No If yes, explain: Are you presently on medication or under a doctor s care? Yes No If yes, explain: Have you been, or are you presently under psychiatric care, or have you been in counseling or psychotherapy? Yes No If yes, explain: Have you ever been hospitalized for any reason? Yes No If so, where and when?: Insurance Information Name of Insurance Company

2 Phone Number Policy Number Name of Primary Carrier Personal Information This information, as well as the application itself, is held in strict confidence. Are you a smoker? Yes No Do you drink alcoholic beverages? Yes No If yes, explain: Have you ever or do you currently use any illegal drugs? Yes No If yes, explain: Have you ever been convicted of a crime? Yes No If yes, explain Do you have any personal history of violence or abuse towards others? Yes No If yes, explain: Does your life currently conform to Biblical standards of morality? Yes No If no, explain: Is there any habitual sin in your life that affects your walk with God? Yes No If yes, explain: Do you have trouble getting along with others? Do you have conflict in relationships? Yes No If yes, explain: Have you ever been involved in any non-christian cult or occult activities? Yes No If yes, explain: Education Information Please list all the schools from high school (or equivalent) to present. Name of School Dates of Attendance Degree/Diploma Major/Minor Language Skills: List languages you know and your level of knowledge. Language Can understand Can carry a conversation Fluent

3 Personal Life Profile 1. What do you consider to be your: A) Personal Strengths: B) Personal Weaknesses: C) Spiritual Gifts (list and describe): 2. What are your talents, hobbies, and interests? A) Talents: B) Hobbies: C) Interests: Spiritual Life Profile Please type the answers to the following questions on a separate piece of paper. 1. Tell us about your salvation experience. How and when did you become a Christian? 2. Please describe your current relationship with the Lord in terms of your devotional and prayer life. 3. Where do you attend church? How long have you been part of this fellowship? 4. What is your current church involvement? 5. Have you ever been on a short-term or long-term mission trip? If so, please describe. 6. Why do want to attend CCBC Nepal, and how do you see it benefiting your present spiritual life and your future ministry plans? 7. Do you feel called to full-time ministry? If yes, please explain. Statement of Faith Type a brief statement of your belief regarding the following: 1) The Bible 2) God 3) Jesus Christ 4) Holy Spirit 5) Sin 6) Salvation 7) Baptism 8) Eschatology 9) The Rapture 10) Eternal Security References Please have two people fill out the reference forms and them to the school. One should be from your Pastor, or another leader in the church who has known you for at least one year. Your application cannot be considered until all the references have been received. Individuals who are related to you by blood or marriage should not fill out a reference for you. Below, list your two references: Name Contact (Phone Number or )

4 Practical Christian Ministry All students must enroll in M199, a Practical Christian Ministry course designed to teach the student how to serve the needs of the body of Christ. Each student serves approximately four hours each week in a designated area of service. Additionally, students are periodically asked to serve in special capacities to minister to others. By submitting this application, you agree to enrolling and participating in the Practical Christian Ministry course. Please check up to four ministries that you would be interested in participating in at CCBC Nepal. Children s Ministry Cleaning Construction/Carpentry Cooking/Food Prep Evangelism Gardening General Helps Music/Worship Cultural Responsibility CCBC Nepal is a ministry primarily dedicated to building up Nepalese men and women for the work of the ministry in Asia. Foreign students who choose to study here must come with an understanding and full acceptance of what that entails. It is the responsibility of each foreign student to do his/her best to conform to the culture of Nepal, both in day-to-day life and ministry. Any attitude of superiority or arrogance will not be permitted. Please seriously check your heart and seek the Lord as to whether this is a good fit for you. Financial Responsibility I understand that the application fee and tuition ($3500 USD total) is non-refundable. The application fee of $25 is due upon ing your application and reference forms. Upon acceptance, the remaining tuition ($3475) is due two weeks before classes begin. Checks should be made payable to: Calvary Chapel Westgrove Attn: CCBC Nepal / Brent Kaser Knott St. Garden Grove, CA Be sure to mention in the memo section "CCBC Nepal Application Fee or CCBC Nepal Tuition, along with your first and last name. I hereby apply to Calvary Chapel Bible College Nepal. I will observe all regulations and uphold the standards of the college. Signed: Date: Application Packet Checklist 1. Fill Out, Scan, and the following items to ccbcnepal@gmail.com New Student Application (with photo attached) Spiritual Life Profile Statement of Faith 2. Hand out reference forms and be sure to have them scanned and ed to ccbcnepal@gmail.com 3. Mail application fee ($25 USD) to address listed above. Be sure to write: CCBC Nepal Application Fee: first & last name in the memo section.

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