Revival Today Bible Institute

Revival Today Bible Institute
PERSONAL INFORMATION
Name:*

First NameMiddle NameLast Name
Mailing Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Primary Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Email:*

Confirmation EmailPlease confirm your email address
Do you consent to receive emails from Revival Today Bible Institute?*

YesNo
Please share your Facebook or Instagram URL:*

EMERGENCY CONTACT
Name:*

First NameLast Name
Relationship to Applicant:*
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Email:*

Confirmation EmailConfirm email address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
BIOGRAPHICAL INFORMATION
Gender:*

MaleFemale
Date of Birth:*

MonthDayYear
*RTBI is only accepting applicants between the ages of 18-35.
Age *
I acknowledge that by submitting my application, I am between the ages of 18-35. I understand that if I submit an application, outside of this age range, the $50 application fee is nonrefundable.*

Yes, I understand.
Marital Status:*
If married, will your spouse be attending RTBI with you?

YesNo
Do you have any children?*

YesNo
Please list their name(s)/age(s) and if they are currently living with you:
If you have children that are under the age of 18, please describe in detail, your plan for childcare. Please note that, if you have young children and do not have any form of daily childcare, we will not be able to accept your application to RTBI. We will not be providing childcare for students. Pastors Jonathan and Adalis believe that your first priority is to your family and children.
I acknowledge to attend RTBI, I must be living locally. Classes must be attended in person and I must have daytime availability. There is no distance learning option.*

Yes, I understand.
RTBI Dating Policy: No dating for the first 6 months (including long-distance). After that, dating will be on an approved basis.*

Yes, I understand.

DEMOGRAPHIC INFORMATION
Are you a U.S. Citizen?*

YesNo
If no, what country?
Social Security Number:*
Do you read, write, and speak English?*

YesNo
Race:*
Please upload a recent photo of yourself for our records:*

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EDUCATION
Are you a high school graduate?*
High School Transcript/Diploma/GED must be uploaded below
Highest education level attained above high school:*
Have you ever been dismissed, suspended, or placed on probation from high school or college for academic or disciplinary reasons?*

YesNo
Beginning with high school, list all educational institutions attended to include: Name of School, Dates attended, Major, Diploma or Degree (if applicable).*
File Upload*

*Please upload your high school diploma/transcript. If you currently don't have it in your possession, please request it from your high school and upload a document/email detailing confirmation of your request. Once received, please email to admissions@revivaltoday.com.
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EMPLOYMENT
Are you presently employed?*

YesNo
Will you seek part-time employment while attending school in Pittsburgh, PA?*

YesNo
Are you able to meet your financial needs to study at RTBI?*

YesNo
I acknowledge that it is my responsibility to secure housing and employment (if necessary) to attend Revival Today Bible Institute.*

Yes, I understand.

SPIRITUAL INFORMATION
When did you accept Jesus Christ as your Savior?*

MonthDayYear
Date
Have you been baptized in the Holy Spirit with the evidence of speaking with other tongues (Acts 2:4)?*

YesNo
If yes, when?

MonthDayYear
Have you lived a Christian life since conversion?*

YesNo
If no, please explain:
Are you in agreement with the beliefs and doctrines of Revival Today Church, Evangelists Jonathan & Adalis Shuttlesworth; under the credentials/leadership of Revival Ministries International. Core beliefs can be found here: https://www.revival.com/whatwebelieve*

YesNo
Do you attend church regularly?*

YesNo
Home Church Name:*
Pastor's Name:*

First NameLast Name
Home Church Telephone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Home Church Address:

Street Address

Street Address Line 2

CityState

Zip CodeCountry
PASTORAL RECOMMENDATION
Download pastoral recommendation, complete the top portion, and submit to your Pastor for his/her recommendation. Forms must be sent directly to admissions@revivaltoday.com.*

I acknowledge that my application requires a pastoral recommendation for acceptance.
Download Pastoral Recommendation PDF to be completed by Pastor

ESSAY QUESTIONS

Thoughtfully consider the following questions and respond to them in essay format. Completed responses need to be between 250-350 words.
Briefly describe how and when you became a Christian and your spiritual growth since then.*
Type "Please see attached document" in the field above.
Explain your call to ministry and your ministerial goals.*
Type "Please see attached document" in the field above.
Why do you want to attend Revival Today Bible Institute?*
Type "Please see attached document" in the field above.
File Upload*

*Please include your responses to all of the above essay questions in one document. Type, "Please see attached document" in each of the above required essay fields.
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APPLICATION FEE

$50 Online Non-Refundable Fee*

RTBI - Application Fee

$50.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

ACKNOWLEDGMENTS
I acknowledge that if accepted, my first years tuition fee of $2,000 is due by August 23, 2022. Two weeks prior to the first day of classes on September 6, 2022.*

Yes, I acknowledge.
Application Agreement:*

I hereby certify that all the information I have provided in this application is truthful and accurate. I understand the information contained on the pastoral/personal recommendations is confidential. I waive my right to review this confidential material. I understand that Revival Today Bible Institute reserves the right to revoke admission on the basis of misrepresentations or omissions in this application. Submission of this application in no way guarantees or implies acceptance and/or enrollment as a student at Revival Today Bible Institute. If Revival Today Bible Institute is notified at any time that my information is false or misleading, it will be grounds for my immediate dismissal. I agree that the Admissions Committee at Revival Today Bible Institute is under no obligation to disclose the basis for my acceptance or denial.
Upon Submission of Completed Application, $50 Application fee, HS Transcript, & Pastoral Recommendation Received, applicants can expect to hear within 3 weeks, via mail of their acceptance status.*

I understand, I must submit all corresponding paperwork prior to receiving the status of my application via mail. *Please double check that you've submitted your most up to date mailing address.
Signature*
Date*

MonthDayYear
Date
Should be Empty:

Revival Today Bible Institute

PERSONAL INFORMATION

EMERGENCY CONTACT

BIOGRAPHICAL INFORMATION

DEMOGRAPHIC INFORMATION

EDUCATION

EMPLOYMENT

BACKGROUND INFORMATION

SPIRITUAL INFORMATION

PASTORAL RECOMMENDATION

ESSAY QUESTIONS

APPLICATION FEE

ACKNOWLEDGMENTS