BJMBC New Student Application

Enrollment Application

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

Last NameFirst NameMiddle Name
Nickname*
Maiden Name
if applicable
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Birth Date*

MonthDayYear
Father's Name*

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mother's Name*

First NameLast 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?*

YesNo
How is your health?*
Please check any health problems you struggle with.*

AsthmaHigh Blood PressureRheumatic HeartDiabetesMigraine HeadachesOther
Please check any that apply.*

SingleEngaged to be MarriedMarriedWidowedSeparatedDivorced
Please give the dates for all that apply.
Spouse's Name

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

YesNo
Do you have children?

YesNo
How many?
What are their ages?
What dialect(s) do you speak?
What special talents do you have?*

CarpentryElectrical WorkPlumbingMechanicsMusicOther
Do you plan to study full-time (take all courses offered each semester?*

YesNo
Will you have the required finances for at least one semester? (P200-250 per unit)*

YesNo
Are you in debt?*

YesNo
How do you plan to finance your schooling?
Are you currently employed (either ministry or a secular job)?*

YesNo
Please list the church or business name and its location.*
Are you a high school graduate?*

YesNo
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.

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

Are you a church member?*

YesNo
Church Affliliation*
Church Name*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Pastor's Name*

First NameLast Name
Pastor's Phone Number*

Area CodePhone Number
Pastor's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
When were you baptized?*

MonthDayYear
In what church?
Have you ever led anyone to Christ?*

YesNo
Have you used alcoholic beverages in the last year?*

YesNo
Have you used tobacco in the last year?*

YesNo
Have you listened to rock music in the last year?*

YesNo
Have you danced in the last year?*

YesNo
Have you gambled in the last year?*

YesNo
Have you used prohibited drugs in the last year?*

YesNo
Have you viewed Komics, lewd magazines, or pornography in the last year?*

YesNo
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?*

YesNo
If you know, which field of service?

PastorMissionaryEvangelistYouth PastorMusicianPastor's WifeOther
What type of Christian work have you done?*

Sunday-school teachingPreachingSong-leadingChoirOther
Have you ever been ordained?*

YesNo
If yes, when?

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

YesNo
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 NameLast Name
Date

MonthDayYear
Should be Empty:

Enrollment Application