QUEST BIBLE INSTITUTE (QBI) APPLICATION

Transcription

1 Please type, or print using ball point pen, YOUR LEGAL NAME (no nicknames, please). 1. Last First Middle Male Female Preferred Name: 2. Indicate interest to which you are applying: Ministerial Diploma (Designed as 1yr program with 2 classes/term or 2 yrs with 1 class/term) Lay Biblical Counseling Certificate (Designed as 1 yr program with 2 classes/term or 3 yrs. with 1 class/term) Advanced Theological Studies (Designed as 2 yr program with 2 classes/term or 3 yrs with 1 class/term) 3. Date you wish to enter Quest Bible Institute Fall (September) (year) Spring (January) (year) Steps in Applying: 1. The application and Personal Statement must be completed solely by the Application, not by another person. When completed, return the Application and Personal Statement, with the $25 non refundable application fee, to QBI, Highway 142N, Oxford, Georgia, Please make payment in U. S. funds. 2. Transcripts of any post high school academic work should be sent to us. If you hold a fouryear college degree, ask the degree granting institution to send us an official copy of your transcript. Please use the enclosed Transcript Request Form. 3. Furnish three persons, whom you name as personal references with copies of the Personal Performance Form provided with this application. Non discrimination Policy: Quest Bible Institute does not discriminate regarding students on the basis of race, color, and national or ethnic origin in the administration of admissions, education policies, or work scholarship programs. 11/30/2012 Page 1

2 Personal Data: 4. Present address 5. City State/Province Zip/Postal Code Country 6. Home telephone number ( ) Daytime telephone number ( ) 7. address Birthdate (Mon./Day/Yr.) / / 8. Social Security Number 9. Country of Birth Country of citizenship 10. If you are NOT a U.S. or Canadian citizen, do you have a current U.S. visa? Yes If yes, what type? Visa expiration date (Mon./Day/Yr.) / /. Please provide copy of visa and current I 94) 11. Applicant s Ethnicity: American Indian or Alaska Native Asian African American Hispanic Native Hawaiian or Other Islander Caucasian Two or more races Other: Prefer not to discuss Education Information: 12. List senior high school and institutions of higher education in order of attendance, latest listed first: Name ADDRESS DATES GRADUATION DEGREES ATTENDED DATE EARNED 11/30/2012 Page 2

3 13. If you do not have a high school diploma do you have a high school equivalency diploma (GED)? Yes If yes, please have an official copy of your test scores sent to us. If no, are you working toward receiving one? Yes CHURCH AND BIOGRAPHICAL INFORMATION: 14. When were you converted? Have you lived a consistent Christian life since conversion? Explain 15. List the name and address of your home church and senior pastor: Home Church Name Address City State/Province Zip/Postal Code Country Senior Pastor Name Address City State/Province Zip/Postal Code Country 16. Have you ever been convicted of a misdemeanor or felony? Yes. If yes, please explain MILITARY INFORMATION: 17. If you are a veteran, please complete the following: 18. Branch of service Date of service Highest rank 19. Type of discharge Honorable Dishonorable Other (please explain) 11/30/2012 Page 3

4 EMPLOYMENT INFORMATION: QUEST BIBLE INSTITUTE (QBI) 20. Present employer: Name of company Address Telephone number ( ) City State/Province Zip/Postal Code Your title or type of work Number of years at present company PERSONAL STATEMENT: Please type or print an autobiographical sketch of at least 500 words on a separate sheet and return with this application. Please type or print an autobiographical sketch of at least 500 words on a separate sheet and return with this application. Response should include a brief description of each of the following: 1. Home life and family background 2. Personal faith and salvation experience 3. Spiritual growth since conversion 4. Christian service in your church and community 5. Reasons for desiring to come to Quest Bible Institute 6. Your goals in life INTERESTS, ACTIVITIES AND EXPERIENCE: 21. For the purpose of encouraging you in your progress as a Quest Bible Institute student, we try to identify certain aspects of your background and experience, such as cross cultural exposure. Have you ever spent an extended amount time living in another culture during your developmental years? Yes If yes, how long? Where? 22. Write the number of years you have been involved in each activity on the appropriate blank: Yearbook staff Church volunteer Church elder/deacon Drama team Youth group office Missionary service Choir Sunday School teacher Community service projects (list): Band/Orchestra Bible teacher Student Council Home group leader Other interests or hobbies: 11/30/2012 Page 4

5 23. How did you first learn about Quest Bible Institute: (Check one) Parents Quest staff/faculty Facebook Pastor Church Web/Internet Which one? Student from Quest Bible Institute (formerly Sanctuary Bible Institute) The Church At Covington sign REFERENCES: 24. List the name, complete address, and telephone number of your senior pastor, a church leader (elder, deacon, Sunday Schoolteacher, youth director, etc.) and a non church related teacher (an employer may be substituted if you have not attended school or college in over a year). None of your references should be related to you. If your parent is the senior pastor of your home church, an elder or church officer may act as the pastor reference for you. Senior Pastor Name Address City State/Province Zip Phone ( ) Church Leader Name Address City State/Province Zip Phone ( ) Tea cher or Employer Name Address City State/Province Zip Phone ( ) Ask each of your references to complete a Personal Reference Form (included with this application) and have them return it to QBI, Highway 142N, Oxford, Georgia, /30/2012 Page 5

6 25. WAIVER of ACCESS: The Family Rights and Privacy Act of 1974 provides the student the right to review all materials place in his/her personal file after January 1, 1975, if admitted as a student. You may wish to waive the right to see the character references that are provided with the understanding that you will not see them. Check the box below which represents your wishes. This will in no way affect the decision of the Admissions Committee. The persons furnishing references will be informed of your choice by the information you provide tin the applicant s section of the Personal Reference Form. You must indicate the same choice below as you do on your Reference Forms. Please note: We expect you to indicate your choice regarding the Waiver of Access. If no choice is indicated, we will be unable to process your application. I waive my right to see my character reference under I do not waive my right to see my character references under the provisions of the Family Act of If accepted I agree to abide by the rules of Quest Bible Institute Signature of applicant Date of application (Mon./Day/Yr.) / / FINANCIAL INFORMATION: We require that each student have semester fees (tuition, books, etc.) paid in full at the time of Registration for each semester. Fall term fees are due at August Registration; Spring term fees are due at January Registration. 11/30/2012 Page 6