GBI Application Form

Personal Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Highest Degree of Educational Background
Date of Birth

MonthDayYear
Date
Marital Status
Spouse’s Name
If Applicable
Emergency Contact

First NameLast Name
Emergency Phone
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about GBI?
If your response was ‘Other’, please specify.

Spiritual Information
Date of Salvation

MonthDayYear
Date
Name of Church you are a member of:
Pastor’s Name

First NameLast Name
Pastor’s Number
Please enter a valid phone number.Format: (000) 000-0000.
Briefly give your salvation testimony.

Statement of Intent
In signing this application for admission to Gethsemane Bible Institute, I certify my willingness to cooperate with the purpose and standards of GBI, abide by all policies of the institute, subscribe to its doctrines, and cooperate fully in the advancing of the cause of Christ the testimony of GBI. I understand that failing to cooperate with the policies of GBI can result in the cancellation of admission and/or dismissal from GBI.
Should be Empty: