BBI New Student Application

New Student Application
Applicant Information

Please fill out the following basic contact and personal information. All information is kept private and confidential.
I am applying for*

full student admission (i.e. regular student status)special registration (only allows enrollment in Special Courses 1001 & 1002)
Full Name*

First NameMiddle NameLast NameSuffix
Gender*

MaleFemale
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number*

Country CodeArea CodePhone Number
Email*
Marketing Permissions to Receive Periodic Emails from BBI

Email
Place of Birth*
Please Provide City, State and Country
Date of Birth*

MonthDayYear
Current Age
BBI only accepts students at a minimum of 17 years old or older. Please contact BBI for further information or questions (bbi@bereanbibleinstitute.org or 262-644-5504)
Parental Information*
Current Marital Status*
Spouse's Full Name

First NameMiddle NameLast NameSuffix

Spiritual Life and Background

Please answer the following questions to help us get to know your spiritual life and background better.
State the Gospel very simply in your own words and give details of your own salvation.*
Please tell us how you heard about Berean Bible Institute. *
State your goals and why you want to be trained at Berean Bible Institute. *
I currently fellowship (or am associated) with a local church. Toggle the switch below to select "no."*
Local Church Information
Briefly explain the circumstances/reasoning you are currently unable to fellowship (or associate) with a local church.
Berean Bible Institute requires all student applicants to submit a photo of themselves for identification and administrative record purposes. Upload an Existing Photo below. *

Spiritual Life and Background - Special Registration Only

Please answer the following questions to help us get to know your spiritual life and background better.
State the Gospel very simply in your own words and give details of your own salvation.*
The only requirements for Special Student admission include a clear testimony of salvation and reading the doctrinal statement of Berean Bible Institute.

Note: This special admission status only allows the student to enroll in
- 1001 Biblical Principles of Family Life and/or
- 1002 Biblical Principles of Married Life
Should the student decide to pursue additional classes, her or she will be required to complete the full student admission application and pay the associated $25.00 application fee.
Click in the box below to sign.*

Clear
Date*
Registration Code

The required $25.00 application fee is waived for special status students. In order to take advantage of the free application fee, you must enter the coupon code at checkout on the next page:

registration1000

Personal References

All new student applicants must offer three (3) personal references whom we may contact for character recommendations for you.
Observe the following details:
- One reference should preferably be your pastor (or a close, spiritual mentor)
- Only one reference may be a relative
Note: The personal information supplied by those listed as references will be kept strictly confidenctial and will only be available to school officials. It is also recommended that you notify the reference in advance that you have used them as a personal reference. We will seek to primarily communicate to them via email (bbi@bereanbibleinstitute.org).

Reference 1
Full Name (Reference 1)*

First NameLast Name
Relationship (Reference 1)*
Email (Reference 1)*
Email is the preferred and default method of communication with references unless noted otherwise.
Phone Number (Reference 1)*
Please enter a valid phone number.
Mailing Address (Reference 1)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Reference 2
Full Name (Reference 2)*

First NameLast Name
Relationship (Reference 2)*
Email (Reference 2)*
Email is the preferred and default method of communication with references unless noted otherwise.
Phone Number (Reference 2)*
Please enter a valid phone number.
Mailing Address (Reference 2)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Reference 3
Full Name (Reference 3)*

First NameLast Name
Relationship (Reference 3)*
Email (Reference 3)*
Email is the preferred and default method of communication with references unless noted otherwise.
Phone Number (Reference 3)*
Please enter a valid phone number.
Mailing Address (Reference 3)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Confirmation

Read and confirm the contents of your application.
Click in the box below to sign.*

Clear
Date*
Additional Comments
Optional: You may include any other comments you believe are necessary or needed for your application.

Enter coupon

New Student Application