PO Box 60508 Nashville TN, 37206 Application for Admission Please Print All Information [ ] New Student [ ] Returning Student DATE: / / NAME: (LAST) (FIRST) (MIDDLE) ADDRESS: CITY: STATE: ZIP: HOME PHONE: CELL: EMAIL: SEX: Date & Place of Birth: Nearest Relative Not Living With You: ADDRESS & PHONE: I am a High School Graduate, or I have a G.E.D. Year Church Affiliation: Church Address: Name of Pastor: Preparing for Christian Services as follows: Ministry Missions General Christian Service Other Check Program Applying For at Emmanuel Bible College: Four-Year Bible Diploma: Two-Year Associates Degree: Other FOR COLLEGE USE ONLY: App Fee: H.S. Tsc. Coll Tsc.
References: Name: Address: Name: Address: Check Enrollment Status: Regular Full-Time Student Special Student Transfer (From) Emmanuel Policies: ***Emmanuel Bible College is authorized by the Tennessee Higher Education Commission. This authorization must be renewed each year, and, is based on an evaluation by minimum standards, concerning quality of education, ethical and business practices, health and safety, and, fiscal responsibility. Emmanuel Bible College does not discriminate because of race, religion, sex or national origin. NOTE: The $25.00 Non-refundable Application Fee must accompany this application Termination: Upon written notice by the student, or after three unexcused absences; or by any student failing to fulfill the agreed to financial arrangements, Official Termination Notice will be served by the College. All privileges are terminated at this notice. Refunds: The following will govern refunds of tuition for each semester: After the 1 st week...90% refund 2 nd week...75% refund 3 rd week...50% refund 4 th week...25% refund After the 4 th week...no REFUNDS WILL BE ISSUED PLEASE READ THE FOLLOWING STATEMENT BEFORE SIGNING: My signature below indicates that I have answered all questions truthfully, and, I hereby agree to abide by all standards and regulations of Emmanuel Bible College, if admitted, as stated in the Catalog I have received. I herewith grant permission to Emmanuel Bible College to conduct a credit check on me, unless my account is paid in full as of the date signed: Signed: Witnessed:
Nashville TN 37206 Tuition Payment Agreement Date: / / I,, agree to pay Emmanuel Bible College three monthly payments of $, each due on the following dates: Monday, February 07, 2011 Monday, March 07, 2011 Monday, April 04, 2011 I understand that failure to complete these monthly payments within thirty (30) calendar days of due date will result in dismissal from Emmanuel Bible College and loss of educational credit for all enrolled courses this semester. I also understand that all fees and tuition are due before I am permitted to take the final exam(s) in which I am enrolled. Student Signature Registrar/Deputy Registrar
610 Boscobel St PO Box 60508 Nashville, TN 37206 Disclosure on the Transferability of Credits Credits earned at Emmanuel Bible College may not transfer to another educational institution. Credits earned at another educational institution may not be accepted by Emmanuel Bible College. You should obtain confirmation that Emmanuel Bible College will accept any credits you have earned at another educational institution before you execute an enrollment contract or agreement. You should also contact any educational institutions that you may want to transfer credits earned at Emmanuel Bible College to determine if such institutions will accept credits earned at Emmanuel Bible College prior to executing an enrollment contract or agreement. The ability to transfer credits from Emmanuel Bible College to another educational institution may be very limited. Your credits may not transfer and you may have to repeat courses previously taken at Emmanuel Bible College if you enroll in another educational institution. You should never assume that credits will transfer to or from any educational institution. It is highly recommended and you are advised to make certain that you know the transfer of credit policy of Emmanuel Bible College and of any other educational institutions you may in the future want to transfer the credits earned at Emmanuel Bible College before you execute an enrollment contract or agreement. Initial: Date:
Pre-Enrollment Checklist Registration Date: Name of School: Name of Student: Social Security #: Address: City State Zip: Phone Number: Course or Program: Please check mark each section when complete: Toured the institution Received an institutional catalog Was given the time and opportunity to review the institutional policies in the catalog Knows the length of the program for full-time and part-time students in the academic terms and actual calendar time Has been informed of the total tuition and fee cost of the program Has been informed of the estimated cost of books and any required equipment purchases such as a stenography machine, computer, specialized tools, art supplies, etc. Has been given a copy of the institutional cancellation and refund policy Understands what transferability of credits means and the specific limitations (if any) should the institution have articulation agreements Student has been informed that any grievances not resolved on the institutional level may be forwarded to the Tennessee Higher Education Commission, Nashville, TN 37243-0830, (615) 741-5293 Signature of Director Date Signature of Student Date