VISION UNITED BIBLE COLLEGE

VISION UNITED BIBLE COLLEGE

A MINISTRY OF VISION UNITED WORSHIP CENTER
APPLICATION FOR ADMISSION

Please complete each question for consideration.
Application Date*

MonthDayYear
Date
Legal Name*

First NameLast Name
Preferred Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Please enter a valid phone number.
Date of Birth

MonthDayYear
Date
Gender

MaleFemale
Marital Status
Emergency Contact Person

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.

Enrollment Information
Have you ever been enrolled at VUBC previously?
Is VUBC your first college to attend?
Desired Start of School
Degree Level Interest
Academic Program
Location/Campus

Demographics
Race

American IndianAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslandeWhite
Ethnicity
Citizenship Status
Military Status
Are you currently serving on Active Duty
Are you a Veteran of the U.S. Armed Forces
Referral
How did you hear about VUBC

Spiritual Health and Christian Activity
Christian Service

Church VolunteerMusic MinistryMission TripsPrayer GroupsChurch LeadershipYouth GroupSoul WinningTeachingOther
When were you born again?

MonthDayYear
Date
Please describe your conversion experince
Have you received the Baptism of the Holy Spirit (Acts 2:4)
Current Church
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pastor's Name

First NameLast Name

Have you ever been convicted of a felony?

YesNo
Felony Conviction Date

MonthDayYear
Date
High School Information
High School Name
Did you graduate?

YesNoGED
Date of Graduation or GED earned

MonthDayYear
Date
Most Recent College or University Attended
Degreed Earned
Date of College Graduation

MonthDayYear
Date
Agreement: I understand that all items obtained by Vision United Bible College ("VUBC") in the application process become the permanent property of VUBC and will not be returned. I understand the information contained on the personal, pastoral, and spousal recommendations is confidential. I waive my right to review this confidential material. I hereby state all the information I have provided in this application is true and correct. I understand that VUBC reserves the right to revoke admission on the basis of misrepresentations or omissions in the application. Submission of this application in no way guarantees of implies acceptance and/or enrollment as a student to VUBC. If VUBC is notified at any time that any information is false or misleading, it will be grounds for my immediate dismissal from VUBC. I agree that the Admissions Committee at VUBC is under no obligation to disclose the basis for my acceptance or denial. I agree that I am responsible for financial commitment of enrolling at VUBC. I hereby grant authorization to VUBC and any related physician to render and/or give emergency medical aid, care or treatment they deem necessary. Entering your initials in the box below certifies that all information in this application is true and accurate to the extent of your knowledge and further certifies that you are in complete agreement with all agreements, regulations, rules, and requirements expressed by Vision United Bible College in this online application
I have completed the application with complete honesty and accuracy and agree to the above terms.

Yes
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