Revival Today Bible Institute
PERSONAL INFORMATION
Name:
*
First Name
Middle Name
Last Name
Application Year
*
Fall September 2024 Cohort **Ages 18-35**
Mailing Address:
*
Street Address
Street Address Line 2
City
State
Zip Code
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
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Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
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Guatemala
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Guinea
Guinea-Bissau
Guyana
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Hong Kong
Hungary
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Primary Phone Number:
*
Please enter a valid phone number.
Email:
*
Confirmation Email
Please confirm your email address
Do you consent to receive emails from Revival Today Bible Institute?
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Yes
No
Adult T-Shirt Size:
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Please share your Facebook or Instagram URL:
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EMERGENCY CONTACT
Name:
*
First Name
Last Name
Relationship to Applicant:
*
Phone Number:
*
Please enter a valid phone number.
Email:
*
Confirmation Email
Confirm email address
BIOGRAPHICAL INFORMATION
Gender:
*
Male
Female
Date of Birth:
*
-
Month
-
Day
Year
*RTBI is only accepting applicants between the ages of 18-35. However, you can apply if you are 17 and turning 18.
Age
*
I acknowledge that by submitting my 2024 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:
*
Please Select
Single
Married
Remarried
Widowed
Separated
Divorced
If married, will your spouse be attending RTBI with you?
Yes
No
Do you have any children?
*
Yes
No
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, we will not accept both spouses to RTBI at the same time. Also, we currently cannot accept single parents to RTBI, as we believe that one parent needs to be present with their children. 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 year and a half (including long-distance). After that, dating will be on an approved basis. Doesn't apply to engaged couples.
*
Yes, I understand.
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DEMOGRAPHIC INFORMATION
Are you a U.S. Citizen?
*
Yes
No
If no, what country?
Social Security Number:
*
Do you read, write, and speak English?
*
Yes
No
Race:
*
Please Select
White
Black
Asian
Hispanic
Other
Please upload a recent photo of yourself for our records:
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EDUCATION
Are you currently a High School Senior?
*
Please Select
Yes
No
*Seniors in High School, please contact your Counseling office to request your current transcript.
Anticipated Graduation Date
Please type the year that you will be graduating from High School. You will need to submit your final transcripts/diploma after you graduate.
Are you a high school graduate?
*
Please Select
Yes
No
GED
High School Transcript/Diploma/GED must be uploaded below
Highest education level attained above high school:
*
Please Select
Associates
Bachelors
Masters
Doctorate
N/A HS Diploma
Have you ever been dismissed, suspended, or placed on probation from high school or college for academic or disciplinary reasons?
*
Yes
No
Beginning with high school, list all educational institutions attended (even if you did not complete the program) to include: Name of School, Dates attended, Major, Diploma or Degree (if applicable). Please note: We do not accept students who have begun or completed any education at River University (this includes RBI, RSW, and RSG) in Tampa, Florida.
*
Transcript File Upload
*
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*Please upload your completed high school and/or college transcript. If you currently don't have it in your possession or are still completing high school, 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. If you were homeschooled, you must provide something from your state and/or accrediting body (EX: Abekka) that shows you have completed high school. *Seniors in High School, please contact your counseling office to request your current transcript.
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EMPLOYMENT
Are you presently employed?
*
Yes
No
Will you seek part-time employment while attending school in Pittsburgh, PA?
*
Yes
No
Are you able to meet your financial needs to study at RTBI? *Please note that all RTBI students are required to meet their own financial obligations while studying at RTBI. Applicants will not be given jobs at RTC or RTBI and must secure their own employment.
*
Yes
No
I acknowledge that it is my responsibility to secure housing and employment (if necessary) to attend Revival Today Bible Institute.
*
Yes, I understand.
I acknowledge that I will not be given a job at RTC or RTBI and will seek employment if necessary.
*
Yes, I understand.
I acknowledge that I am not to message any Pastor or staff at RTC or RTBI in regards to my financial needs. All questions and concerns will be directed to the admissions team via email at RTBI.
*
Yes, I understand.
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BACKGROUND INFORMATION
Please indicate if you have been involved in any of the following activities within the past two years:
*
Smoking/Tobacco Use
Drinking Alcohol
Illegal Drug Use
Homosexuality/Lesbianism
Fornication/Adultery
Child/Domestic Abuse
Other Immoral Acts
N/A
If yes, when did you last engage in the activity, and please provide any comments:
Have you ever been charged with or under indictment for a felony
*
Yes
No
Have you ever been accused, questioned, or investigated for domestic abuse?
*
Yes
No
Have you ever sought psychiatric/professional help for a mental or emotional condition?
*
Yes
No
If you answered yes, to any of the above questions, please explain below:
Please list any health issues, which require attention or might limit your participation in any aspect of on campus classes/training:
If you need additional space to clarify any of the above questions, please upload any documents below:
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I grant Revival Today Bible Institute permission to perform a background check to determine my eligibility for admission.
*
Yes, I agree.
All information submitted, remains strictly confidential. Your admission will take many factors into account, not just your history. You are a new creation (2 Cor. 5:17). However, we must do our due diligence to ensure the safety/welfare of staff/students & the Revival Today Church congregation.
*
Yes, I acknowledge.
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SPIRITUAL INFORMATION
When did you accept Jesus Christ as your Savior?
*
-
Month
-
Day
Year
Date
Have you been baptized in the Holy Spirit with the evidence of speaking with other tongues (Acts 2:4)?
*
Yes
No
If yes, when?
-
Month
-
Day
Year
Have you lived a Christian life since conversion?
*
Yes
No
If no, please explain:
Are you in agreement with the beliefs and doctrines of Revival Today Church and Evangelists Jonathan & Adalis Shuttlesworth under the credentialing and leadership of Revival Today's Tenets of Faith. These tenets and core beliefs can be found here: https://www.revival.com/whatwebelieve
*
Yes
No
Do you attend church regularly?
*
Yes
No
Home Church Name:
*
Pastor's Name:
*
First Name
Last Name
Home Church Telephone Number:
*
Please enter a valid phone number.
Home Church Address:
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
PASTORAL RECOMMENDATION
Download the pastoral recommendation below, complete the top portion, and submit to your Pastor for his/her recommendation. Forms must be sent directly to admissions@revivaltoday.com. If you are a member of RTC, you may obtain a recommendation from any pastor on staff.
*
I acknowledge that my application requires a pastoral recommendation for acceptance.
Download Pastoral Recommendation PDF to be completed by Pastor
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ESSAY QUESTIONS
Thoughtfully consider the following questions and respond to them in essay format. Each 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.
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*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.
*
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Fall 2024 $50 Application Fee
For the month of July, we are WAIVING the Application Fee! Please use the code WNEHS24 for the entire month of June to apply for free!
$
50.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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ACKNOWLEDGMENTS
Fall September 2024 Applicant: I acknowledge that if accepted, my first year's tuition fee of $2,000 is due by August 3, 2024. Two weeks prior to the first day of classes on September 3, 2024.
*
Yes, I acknowledge.
N/A
I acknowledge that all information pertaining to RTBI, my admission, acceptance, and courses will be communicated with me by RTBI staff. I am not, under any circumstances, to reach out to via social media or any other form of communication to the Pastors and Staff at RT, RTC, or RTBI concerning this application other than to acquire a Pastoral Recommendation if needed.
*
Yes, I acknowledge.
N/A
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 recommendation 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/reason 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 (to the mailing address provided on the application) 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
*
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