Application for New Students

Character & Work References

Please provide contact information for people who can speak to your character, work ethic, and faith. Close relatives are not eligible to be accepted as references.
Reference 1

Pastor or Elder
Pastor or Elder Name*
Pastor or Elder Email*
Your Pastor/Elder will automatically receive an email from NBBI with a link to the reference form.
Reference 2

Employer or Teacher
Employer or Teacher Name*
Employer or Teacher email*
Your employer or teacher will automatically receive an email from NBBI with a link to the reference form.

Health & Safety Information

Your well-being matters. Please share any relevant health details and who we can contact in an emergency.
Emergency Contact Person*

First & Last NameRelationship
Emergency Contact Phone Number*
Please enter a valid phone number.
Type of Hospital or Medical Insurance
Insurance Policy Number
Policy Holder's Name
Policy Holder's Phone Number
Please enter a valid phone number.
Do you have any ongoing health or physical conditions which require attention or care?*

YesNo
If yes, please describe:
Do you have any allergies?*

YesNo
Allergies:*
Note: We can accommodate individuals with gluten and dairy sensitivities, but we cannot guarantee a completely gluten-free or dairy-free environment.
Please list any current medications you are taking.
In the past year, have you consumed alcohol, used tobacco, or taken any non-medical drugs?*

YesNo
Please provide details, including the date of last use.*

Terms
I hereby affirm that, to the best of my knowledge, the information provided in this application is complete, accurate, and truthful. I acknowledge and consent to the use of the personal information contained herein by authorized employees and representatives of New Brunswick Bible Institute (NBBI) for purposes consistent with the Institute’s mission and the provision of a quality Christian education.

I understand and accept that the completion of all assigned academic and practical requirements, as well as the full payment of all applicable fees, is a prerequisite for graduation from NBBI.

If granted admission, I agree to uphold and support the values, mission, and standards of New Brunswick Bible Institute. I further commit to conduct myself in a manner consistent with the principles of Christian character and integrity throughout the duration of my enrollment.
RELEASE AND AGREEMENT

I have read and agree to the above terms. If the applicant is under 18 years of age, this agreement must be confirmed by a parent or legal guardian.

New Student Application