TENNESSEE BIBLE COLLEGE 1616 McCulley Road Cookeville, TN (931)

Transcription

1 TENNESSEE BIBLE COLLEGE 1616 McCulley Road Cookeville, TN (931) Application for admission to ON-CAMPUS studies: [ ] Tennessee Bible College [ ] Tennessee Bible College Graduate School of Christian Doctrine and Apologetics [ ] On-Campus Studies ***For application to the Distance Learning program, please visit NOTE: All forms, transcripts, and correspondence regarding admission to Tennessee Bible College or Tennessee Bible College Graduate School of Christian Doctrine and Apologetics are to be sent to the Dean of Tennessee Bible College, 1616 McCulley Road, Cookeville, TN APPLICATION FEE: A non-refundable fee of $25.00 (in U.S. Dollars, please) is to accompany all new applications by persons who have not previously been enrolled in the Bible college or graduate school. I. PERSONAL INFORMATION Soc. Sec. No. Name (First) (Middle) (Last) Address City State Zip Code Home Phone Cell or Business Phone Place of Birth Date of Birth Name of Parents or Guardian Parent Address Religious Affiliation Member? How Long? Congregation Name Preacher Congregation Address Elders of home congregation: Elder's Name Address Phone Number

2 Other preachers who know you well: Preacher's Name Address Phone Number Marital Status: [ ]Never married [ ]Married for first and only time [ ]Separated [ ]Divorced but not remarried [ ]Divorced and remarried (Explain) Spouse's Name Have you ever been convicted of any violation of the law? (Minor traffic violations excepted) [ ] Yes [ ] No If yes, explain II. EDUCATIONAL INFORMATION Name of high school from which you graduated (Request that a copy of your transcript be sent to TBC). List below (in chronological order) all colleges and universities you have attended and give the requested information. Institution City, State Years Attended Degree-Date Recʼd Major Minor If you have taken an entrance examination (e.g. GRE), give the following information: Name of the examination Date examination was taken Your score List below the Grade Point Average you have made in your college/university work: Undergraduate work Baccalaureate degree Master's degree List any academic honors you have received. High school College Has it been necessary for you to withdraw from any school or college? [ ]No [ ]Yes If yes, please explain. Are you eligible for readmission next term to the last college or university attended? [ ] Yes [ ] No

3 Have you sent to the Dean of Tennessee Bible College a copy of the transcripts of the work you have done in every college or university or school of preaching that you have attended? [ ] Yes [ ] No (If no, please do this as soon as possible.) Date you plan to enroll in the college III. WORK INFORMATION Have you had experience as a preacher? [ ] Yes [ ] No (If yes, please explain, giving dates, places, etc.) Have you had experience as a teacher? [ ] Yes [ ] No (If yes, please explain, giving dates, places, etc.) What other work experience have you had? Give employer's name, dates, type of work done, etc. STATEMENT: I have read the catalog and agree to abide by all conditions and regulations set forth therein. Signed: Date:

4 TENNESSEE BIBLE COLLEGE Reference Form Dean Tennessee Bible College 1616 McCulley Road Cookeville, TN Three Reference Forms Required [ ] Tennessee Bible College [ ] Tennessee Bible College Graduate School I have known for years. During this time, I have known him/her: Very well Well Fairly Well Slightly In my judgment, his/her moral character is Excellent Fair Poor Very Poor So far as my knowledge serves, in financial matters he/she Is current with bills Has only a fair credit rating Has a very high credit rating Has a poor credit rating In my judgment he/she Gets along very well with others Gets along only fairly well with others Gets along poorly with others In my judgment he/she is A happy person Very moody at times Depressed often Intellectually, he/she is Very intelligent Of average intelligence Below average in intelligence Not really qualified to do college study Physically, he/she is In excellent health In fair health In poor health In appearance, he/she is Very neat Very clean with excellent personal hygiene Only fair in dress Very poor in appearance As to his/her marital status, he/she is Single Married Divorced (Please explain and use additional space if necessary QUESTIONS ONLY FOR STUDENTS TRAINING TO BE PREACHERS: As to his desire to preach He has long desired to preach It surprises me that he has so decided His desire stems from misguided zeal His desire springs from genuine love for the Lord and for lost souls As to his ability as a speaker (preacher), my judgment is that he is Outstanding

5 Excellent Fair Poor Very poor In my judgment, the congregation of which I am a member Might be willing to give him some financial support (if he needs it) Would not be willing to give him financial support to train to become a preacher Would consider him worthy of financial support I can I cannot recommend him/her to be admitted to Tennessee Bible College. Signed: Date: Please use the space below for any further information that you feel will be of help to us in evaluating this application for admission.

6 TENNESSEE BIBLE COLLEGE Medical History and Physical Examination Dated within 6 months of school entrance date Student Name Based on a medical history and physical examination, this student: [ ] Has a Disease or condition which could affect his/her ability to carry a full academic load (Explain any positive "Has [ ] Has no Disease" answers). Based on a medical history and physical examination, this student: [ ] Has a Disease or condition which could affect his/her being graded competitively in physical education class (Explain any [ ] Has no positive "Has Disease" answers). Based on a medical history and physical examination, this student: [ ] Has a Disease or condition which would be a public hazard to other individuals (Explain any positive "Has [ ] Has no Disease" answers). M.D. Date