Distance Learning Application

For College Credit

If you have credits that you would like us to consider transferring, please list other schooling (College, Vocational, Business, etc.). A transcript will need to be submitted to us.
Name of School
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates of Attendance
Major
Degree or Diploma
Name of School
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates of Attendance
Major
Degree or Diploma
Briefly explain:
1. How you were saved/your salvation experience:*
2. Any Christian service to date:*
3. Your plans when you finish college:*
4. Why you chose Dayspring Bible College & Seminary Distance Learning:*
Statement of Intent
Agree
“I do hereby make application for the Dayspring Bible College & Seminary Distance Learning Program, and agree, if accepted, to cheerfully abide by all rules and regulations and cooperate fully in every respect in advancing the Christian testimony of the Dayspring Bible College & Seminary. I have read the Catalog, including the Statement of Faith, and am in full agreement with its policies, procedures, and other information contained therein.”*

Agree
Student Signature*
*Entering your name in the field above qualifies as your electronic signature.
Date*

MonthDayYear
Date
Should be Empty:

Enrollment Information