College Undergraduate Degree

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College Undergraduate Degree ADMISSION APPLICATION Applicant s Checklist Have all appropriate questions been answered? Has the application fee been sent to TCBS? Address listed above. (The fee is $40) Have your transcripts been requested? (They should be sent directly to TCBS) Has a spouse s biographical form been completed? Has your salvation testimony been enclosed? Has your statement of career goals been enclosed? Has a statement of your ministry involvement been completed? Have your references been distributed with a stamped, addressed envelope? (They should be sent directly to TCBS) Have you attached a separate sheet listing any doctrinal disagreement?

PERSONAL HISTORY 1. Full Legal Name: Last First Middle 2. Current Address: Street Apt.# City/State/Zip Email 3. Home Phone: ( ) 4. Cell Phone: ( ) 5. Permanent Address: Street Apt.# City/State/Zip Phone ( ) 6. Are you a U.S. Citizen? Yes No 7. Date of Birth: 8. Place of Birth: 9. Marital History: Single Married Engaged Widowed/Remarried Widowed Separated* Divorced* Divorced/Remarried* *Please attach statement outlining the circumstances. Name of Spouse: Date of Marriage: Names and ages of Children: Do you agree to notify the college of any change in your marital status? 10. What is your present employment? 11. In what ministries have you served in the past? 12. How are you serving now and describe how the Lord has been using you to bear fruit for Christ? 13. What church do you attend? Address: Phone: ( ) Denomination: Are you a member? Yes No What ministry are you serving in there? 14. Have you ever used illegal drugs? Yes No If yes, please attach an explanation of the circumstances. 15. Have you ever been arrested? Yes No If yes, please attach an explanation of the circumstances. 16. Will you be a full-time or part-time student? Full-time (12 units or more) Part-time (less than 12 units) 17. Bachelor of Arts, Biblical Studies Program area of emphasis: Biblical Counseling Emphasis Pre-Seminary Emphasis Women s Ministry Emphasis - 1 -

ACADEMIC HISTORY 18. For which quarter are you applying? Fall Winter Spring Summer 19. Please list all the institutions you have attended beyond high school. Name of School, City and State Years Attended From To Total Units (Q/S) Degree Earned (Please attach additional pages if necessary.) Please have an official transcript from the institution where you received your degree mailed directly to The Cornerstone Bible College and Seminary. 20. Do you regard your scholastic record as an accurate representation of your ability? 21. Are you applying to any other college? Yes No If so, where? 22. Have you ever been refused admission, had your enrollment suspended or terminated, or been asked to withdraw from any college, or university? EMPLOYMENT HISTORY 23. Please list your most recent employment experiences for the past 3 years. Organization: Location: Position/Duties: Dates Employed: Organization: Location: Position/Duties: Dates Employed: Organization: Location: Position/Duties: Dates Employed: - 2 -

CHRISTIAN MINISTRY INVOLVEMENT 24. Please list your past major volunteer Christian ministry positions in such areas as Sunday School teaching, preaching, serving on boards, youth work, music, missions, or other circumstances. Organization: Location: Position or Activity: Dates of Service: Organization: Location: Position or Activity: Dates of Service: Organization: Location: Position or Activity: Dates of Service: (Please attach additional pages if necessary) 25. If you are not a U.S. Citizen, on what type of visa are you presently in the U.S. or planning to enter the U.S.? 26. List your special hobbies, interests, or abilities other than theological. 27. References: In addition to the Pastor s reference, please rovide the contact information of two individuals (not related to you) who are willing and able to attest to your Christian character. On each form you must indicate whether you choose to retain or to waive your right to inspect the reference. Pastor s Reference: Name Address City/State/Zip Phone ( ) Email If none is available, you may use another church leader. General Reference #1: Name Address City/State/Zip Phone ( ) Email General Reference #2: Name Address City/State/Zip Phone ( ) Email - 3 -

CHRISTIAN MINISTRY INVOLVEMENT (continued) 28. Physical Condition: How is your health? Excellent Good Fair Poor If not excellent, why not? Do you have any physical disabilities or limitations which could effect your studies, responsibilities, activities, or future ministry? Yes No If yes, please attach an explanation. Have you ever been under psychiatric care or medications? Yes No If yes, please attach an explanation. 29. Marital relationship: Is your spouse fully supportive of your application for admission to The Cornerstone Bible College? Yes No If no, please attach an explanation. 30. Doctrinal agreement: In so far as you have formed an opinion, are you in general agreement with the doctrine expressed by The Cornerstone Bible College and Seminary? Yes No Are there some areas of disagreement? Yes No If yes, please attach an explanation. 31. Have you completed this form yourself? Yes No If you had help, who was your helper and why? 32. On two separate sheets of paper, please write: A one-page account of your salvation testimony. A one-page statement of your career goals and your reasons for applying for this college degree program. If admitted, I agree to seek earnestly the will of God for my life, to conform sincerely to the standards of conduct of The Cornerstone Bible College and Seminary, and to assist in maintaining the spirit and letter of the institution s regulations. I affirm that all statements and admissions made on this application are true to the best of my knowledge. Signed: NOTICE: After your acceptance, you will receive a course list and a registration notification for the next quarter at the time they are mailed out to all new and continuing students. The registration form should be completed at that time and submitted with your tuition payment prior to the start of the quarter for which you are applying. - 4 -

SPOUSE S BIOGRAPHICAL INFORMATION SHEET To be completed by the applicant s spouse or fiancée and returned with the application packet. Full Legal Name: Last First Middle Current Address: Street Apt.# City/State/Zip Email Previous Marital Status: Single Divorced* Widowed *Please attach a statement outlining the circumstances. Please list schools attended from high school and beyond: 1. Graduated: Degree: 2. Graduated: Degree: 3. Graduated: Degree: Please state your attitude toward your spouse s or fiancée s proposed program of study. Please give an account of your Christian testimony. Will your spouse s or fiancée s program require you to seek employment outside the home? Yes No List the types of employment in which you have had experience. Are you currently employed? Yes No If yes, what do you do? Please list any special talents or abilities you have. - 5 -

PASTOR S REFERENCE Name of Applicant: Last First Middle Notice to Applicant: The Family Education Rights and Privacy Act of 1974 gives the student the right to inspect their educational records. This right extends to letters of recommendations except that a student may waive his right to see specific confidential statements and letters of recommendations. I hereby waive my right to examine this confidential recommendation, knowing that this waiver is not required as a condition for admission. I do not waive my right to examine this reference, but I authorize the person completing this form to provide a candid evaluation. Applicant s Signature: Please rate the applicant in the areas below by checking the box next to the rating that best describes him/her. COOPERATION: Willingness to work with people in various capacities, loyalty. Outstanding When convenient Indifferent Unwilling Not observed EMOTIONS: Reactions in stressful situations. Well balanced Fairly well balanced Moody Unresponsive Not observed INITIATIVE: Ability to see things to do, resourceful, eager. Seeks additional tasks Willingly does more that expected Does assigned tasks Needs prodding Not observed COMMON SENSE: Ability and foresight in decisions in everyday situations. Sound decisions Fair deductions Poor results Lacks ability Not observed LEADERSHIP: Ability to lead others. Consistently a leader Usually a leader Leads occassionally Seldom/never leads Not observed PERSONALITY: Mannerisms and appearance, general impression on others. Well liked Accepted Tolerated Rejected Not observed RELIABILITY: Dependable, willing, consistent. Conscientious Usually reliable Erratic Unreliable Not observed CHRISTIAN CHARACTER: Maturity, vitality, faithfulness. Outstanding/mature Usually consistent Questionable at times Little or no evidence Not observed FINANCIAL RESPONSIBILITY: Payment of debts and spending habits. Meets obligations promptly Usually meets obligations Sometimes extravagant Serious financial problems Not observed COMMUNICATION SKILLS: Ability to present thoughts with logic and clarity. Outstanding Good Has difficulty Unable to talk clearly Not observed - 6 -

PASTOR S REFERENCE (continued) 1. How long have you known the applicant? 2. Are you and the applicant related? Yes No 3. Is the applicant a member of your church? Yes No 4. In what church activities has the applicant participated? 5. What spiritual gifts has the applicant demonstrated to you? 6. How is the applicant viewed by the congregation? 7. In what areas of ministry do you foresee the applicant serving? 8. Do you have any concerns about the applicant completing college level training and if so, have you spoken to the applicant about these concerns? 9. Can you conscientiously recommend the applicant for admission to The Cornerstone Bible College and Seminary? Enthusiastically With confidence With the following reservation 10. Do you have any additional comments that would help in determining the applicant s fitness for Bible College training? Your Name: Name of Church: Address: Phone: ( ) Email Address: Signature: -7 -

GENERAL REFERENCE #1 Name of Applicant: Last First Middle Notice to Applicant: The Family Education Rights and Privacy Act of 1974 gives the student the right to inspect their educational records. This right extends to letters of recommendations except that a student may waive his right to see specific confidential statements and letters of recommendations. I hereby waive my right to examine this confidential recommendation, knowing that this waiver is not required as a condition for admission. I do not waive my right to examine this reference, but I authorize the person completing this form to provide a candid evaluation. Applicant s Signature: Please rate the applicant in the areas below by checking the box next to the rating that best describes him/her. COOPERATION: Willingness to work with people in various capacities, loyalty. Outstanding When convenient Indifferent Unwilling Not observed EMOTIONS: Reactions in stressful situations. Well balanced Fairly well balanced Moody Unresponsive Not observed INITIATIVE: Ability to see things to do, resourceful, eager. Seeks additional tasks Willingly does more that expected Does assigned tasks Needs prodding Not observed COMMON SENSE: Ability and foresight in decisions in everyday situations. Sound decisions Fair deductions Poor results Lacks ability Not observed LEADERSHIP: Ability to lead others. Consistently a leader Usually a leader Leads occassionally Seldom/never leads Not observed PERSONALITY: Mannerisms and appearance, general impression on others. Well liked Accepted Tolerated Rejected Not observed RELIABILITY: Dependable, willing, consistent. Conscientious Usually reliable Erratic Unreliable Not observed CHRISTIAN CHARACTER: Maturity, vitality, faithfulness. Outstanding/mature Usually consistent Questionable at times Little or no evidence Not observed FINANCIAL RESPONSIBILITY: Payment of debts and spending habits. Meets obligations promptly Usually meets obligations Sometimes extravagant Serious financial problems Not observed COMMUNICATION SKILLS: Ability to present thoughts with logic and clarity. Outstanding Good Has difficulty Unable to talk clearly Not observed - 8 -

GENERAL REFERENCE #1 (continued) 1. How long have you known the applicant? 2. Are you and the applicant related? Yes No 3. Is the applicant a member of your church? Yes No 4. In what church activities has the applicant participated? 5. What spiritual gifts has the applicant demonstrated to you? 6. How is the applicant viewed by the congregation? 7. In what areas of ministry do you foresee the applicant serving? 8. Do you have any concerns about the applicant completing college level training and if so, have you spoken to the applicant about these concerns? 9. Can you conscientiously recommend the applicant for admission to The Cornerstone Bible College and Seminary? Enthusiastically With confidence With the following reservation 10. Do you have any additional comments that would help in determining the applicant s fitness for Bible College training? Your Name: Name of Church: Address: Phone: ( ) Email Address: Signature: - 9 -

GENERAL REFERENCE #2 Name of Applicant: Last First Middle Notice to Applicant: The Family Education Rights and Privacy Act of 1974 gives the student the right to inspect their educational records. This right extends to letters of recommendations except that a student may waive his right to see specific confidential statements and letters of recommendations. I hereby waive my right to examine this confidential recommendation, knowing that this waiver is not required as a condition for admission. I do not waive my right to examine this reference, but I authorize the person completing this form to provide a candid evaluation. Applicant s Signature: Please rate the applicant in the areas below by checking the box next to the rating that best describes him/her. COOPERATION: Willingness to work with people in various capacities, loyalty. Outstanding When convenient Indifferent Unwilling Not observed EMOTIONS: Reactions in stressful situations. Well balanced Fairly well balanced Moody Unresponsive Not observed INITIATIVE: Ability to see things to do, resourceful, eager. Seeks additional tasks Willingly does more that expected Does assigned tasks Needs prodding Not observed COMMON SENSE: Ability and foresight in decisions in everyday situations. Sound decisions Fair deductions Poor results Lacks ability Not observed LEADERSHIP: Ability to lead others. Consistently a leader Usually a leader Leads occassionally Seldom/never leads Not observed PERSONALITY: Mannerisms and appearance, general impression on others. Well liked Accepted Tolerated Rejected Not observed RELIABILITY: Dependable, willing, consistent. Conscientious Usually reliable Erratic Unreliable Not observed CHRISTIAN CHARACTER: Maturity, vitality, faithfulness. Outstanding/mature Usually consistent Questionable at times Little or no evidence Not observed FINANCIAL RESPONSIBILITY: Payment of debts and spending habits. Meets obligations promptly Usually meets obligations Sometimes extravagant Serious financial problems Not observed COMMUNICATION SKILLS: Ability to present thoughts with logic and clarity. Outstanding Good Has difficulty Unable to talk clearly Not observed - 10 -

GENERAL REFERENCE #2 (continued) 1. How long have you known the applicant? 2. Are you and the applicant related? Yes No 3. Is the applicant a member of your church? Yes No 4. In what church activities has the applicant participated? 5. What spiritual gifts has the applicant demonstrated to you? 6. How is the applicant viewed by the congregation? 7. In what areas of ministry do you foresee the applicant serving? 8. Do you have any concerns about the applicant completing college level training and if so, have you spoken to the applicant about these concerns? 9. Can you conscientiously recommend the applicant for admission to The Cornerstone Bible College and Seminary? Enthusiastically With confidence With the following reservation 10. Do you have any additional comments that would help in determining the applicant s fitness for Bible College training? Your Name: Name of Church: Address: Phone: ( ) Email Address: Signature: - 11 -