BJMBC New Student Application

Enrollment Application

All applications will be kept in the strictest confidence of school officials only.
Full Name *

Last Name First Name Middle Name
Nickname *
Maiden Name
if applicable
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email Address *
Phone Number *

Area Code Phone Number
Birth Date *

Month Day Year
Father's Name *

First Name Last Name
Father's Occupation *
Father's Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mother's Name *

First Name Last Name
How many children in your family *
Which child are you in the order? *
If you are single, do your parents approve of your attending at BJMBC? *

Yes No
How is your health? *
Please check any health problems you struggle with. *

Asthma High Blood Pressure Rheumatic Heart Diabetes Migraine Headaches
Please check any that apply. *

Single Engaged to be Married Married Widowed Separated Divorced
Please give the dates for all that apply.
Spouse's Name

First Name Last Name
Is your spouse in agreement with your attendance at BJMBC? *

Yes No
Do you have children?

Yes No
How many?
What are their ages?
What dialect(s) do you speak?
What special talents do you have? *

Carpentry Electrical Work Plumbing Mechanics Music
Do you plan to study full-time (take all courses offered each semester? *

Yes No
Will you have the required finances for at least one semester? (P200-250 per unit) *

Yes No
Are you in debt? *

Yes No
How do you plan to finance your schooling?
Are you currently employed (either ministry or a secular job)? *

Yes No
Please list the church or business name and its location. *
Are you a high school graduate? *

Yes No
What was your NCEE / ENSAT score?
What school did you attend? *
What is the municipality and province of your school?

Please list any schools you attended after high school graduation.

	Name of School	Place	Years	Course	Degree Earned
School 1
School 2
School 3

Are you a church member? *

Yes No
Church Affliliation *
Church Name *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Pastor's Name *

First Name Last Name
Pastor's Phone Number *

Area Code Phone Number
Pastor's Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
When were you baptized? *

Month Day Year
In what church?
Have you ever led anyone to Christ? *

Yes No
Have you used alcoholic beverages in the last year? *

Yes No
Have you used tobacco in the last year? *

Yes No
Have you listened to rock music in the last year? *

Yes No
Have you danced in the last year? *

Yes No
Have you gambled in the last year? *

Yes No
Have you used prohibited drugs in the last year? *

Yes No
Have you viewed Komics, lewd magazines, or pornography in the last year? *

Yes No
If yes, state when and if you are still practicing it.
From whom or how did you hear about BJMBC?
Why do you want to attend BJMBC? *
Do you feel called into full-time Christian service? *

Yes No
If you know, which field of service?

Pastor Missionary Evangelist Youth Pastor Musician Pastor's Wife
What type of Christian work have you done? *

Sunday-school teaching Preaching Song-leading Choir
Have you ever been ordained? *

Yes No
If yes, when?

Month Day Year
By what church or organization?
Where?
Are you in full agreement with the Doctrinal Statement of BJMBC? *

Yes No
If no, please state why.
Please write your testimony of salvation. When and where were you saved and what did you do? *
I have completed this application to the best of my ability and with complete honesty. I understand that my attending BJMBC is a privilege and not a right and that the administration reserves the right to terminate my enrollment at any time, should my life, conduct, beliefs, and/or grades demand such action. I agree to submit cheerfully to the regulations of this Bible institute, to abstain from practices which are unbecoming to a Christian, and to cooperate wholeheartedly with the administration and fellow students in a life to the glory of God.
Duly Signed

First Name Last Name
Date

Month Day Year
Should be Empty:

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Enrollment Application