DBIS of Registration Form

Divine Bible Instititute & Seminary

Affiliated Accreditation by NEW ENGLAND UNIVERSITY OF CHRIST
Mr/Mrs/Miss/Ms/Other
Full Name

First NameMiddle NameLast Name
Gender
Birth Date

MonthDayYear
Country of Birth
Telephone Number
E-mail
example@example.com
Present Address (US Residence)- Put N/A if it doesnt apply to you

Street Address

Street Address Line 2

CityState

Zip Code
International Residence
For students outside the United States
Person to contact in case of emergency:
Parent/Guardian
Relationship
ex. Father, Mother, etc.
Address of person to contact in case of emergency
Course of Study Applied for:
Course of Interest:
Workshops
Mode of study:
Starting Semester or Workshop
Fees Information:

You must give details of who be paying your fees.
Who is expected to pay your fees?
Name and address to which invoice is to be sent(if different from above)
Education:

Please give details of all Schools/Colleges/Universities attended.
List Your Educational History
Education Qualifications:
Have you previously studied in the US?
Employment:

Please give details of curent and previos employers,together with dates.
List your Employment History
Statement In Support Of Application:

This section must be completed. You should state why you want to undertake this course, any relevant experience, skills and attributes, and your long terms goals.
Type a question
Reference:

All applicants must provide one reference. The referee should be a course tutor if you have been in education within the last two years or your current or most recent employer.
Name of referee 1
Organization
Relationship to you
Name of referee 2
Organization
Relationship to you
Please tell us where you found out about this course
Support Requirements:

Please complete this section if you have any learning support/mobillity requirements.
Do you have a disability, medical conditon or require learning support?
If yes,please name and give brief details:
Declarations:
Do you have any unspent criminal convictions?
A criminal record will not necessarily be a bar to obtaining a place at Divine Bible Institute and Seminary

A satisfactory Criminal Records Bureau disclosure will be required for successful applicants to courses that include placements where students work with children or vulnerable adults.
Data Protection Act 1988

I agree to Divine Bible Institute and Seminary processing the personal data contained in this form or other data that the University may obtain from other individuals. I agree to the processing of such data for any purposes connected with my studies or my health and safety whilst on the premises or for any legitimate reason, including communication with me following the completion of my studies.

In addition, I agree to Divine Bible Institute and Seminary processing personal data described as ''Sensitive Data'' within the meaning of the Data Protection Act 1988, such processing to be undertaken for any purposes as indicated in the declaration above.

Suppose my employer/sponsor is supporting my studies by paying my fees/allowing me to study. In that case, I agree to my employer/sponsor being informed of the progress of my application and of my studies if I am accepted onto the course.
Pastors Name

First NameLast Name
Name of your current Church
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMail
example@example.com
Church Telephone Number
Format: (000) 000-0000.
Academic Integrity & Plagiarism Warning
At Divine Bible Institute and Seminary, we are committed to upholding the highest standards of academic integrity and spiritual accountability. Plagiarism—the act of presenting someone else's work, ideas, or words as your own without proper acknowledgment—is a serious violation of these principles.

All assignments, essays, projects, and exams must reflect the student's original thought, supported by properly cited sources where applicable. The use of artificial intelligence, copy-paste content, or unreferenced third-party material is strictly prohibited unless expressly permitted by the instructor.

Consequences of Plagiarism Include:
An automatic grade of “F” on the plagiarized assignment
Possible failure of the entire course
Academic probation or disciplinary review
Disqualification from honors or scholarship eligibility
Notification to the Academic Dean for repeated offenses
To Avoid Plagiarism:
Always cite your sources using approved formats
Use quotation marks for direct quotes
Paraphrase responsibly and give credit
When in doubt, ask your instructor

Academic integrity is not only a matter of academic policy—it is a matter of Christian character. We encourage all students to “study to shew thyself approved unto God” (2 Timothy 2:15 KJV) with honesty, diligence, and accountability.
Signature of Applicant

First NameLast Name
Signature

Registration Payment: $80.00 (Non-Refundable)

USDThis payment is required in order to begin classes

Payment Methods

Credit Card

Apple Pay

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Cash App Pay

Afterpay

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🏛️ Accreditation Statement

Divine Bible Institute and Seminary operates as an accredited extension and academic partner under the spiritual and academic covering of Liberty Hall Bible Institute and Seminary, Inc., headquartered in Brooklyn, New York.Liberty Hall Bible Institute and Seminary is a recognized Christian institution of theological training and ministry education. It holds accreditation through the following:Accrediting Commission International (ACI) – A global, non-governmental accrediting agency for independent Christian schools, colleges, and seminaries.Global Evangelical Accrediting Commission (GEAC) – An accrediting body committed to maintaining spiritual and academic excellence in Christian education.Association of Independent Christian Colleges and Seminaries (AICCS) – Providing oversight, accountability, and recognition for member institutions focused on Bible-centered education.As a certified extension of Liberty Hall, Divine Bible Institute and Seminary adheres to the same standards of academic integrity, biblical doctrine, and ministerial preparation, ensuring our students receive a quality theological education that is respected and spiritually grounded.For more details about our parent institution, visit: lhbis.org for more information
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Divine Bible Instititute & Seminary

Course of Study Applied for:

Fees Information:

Education:

Education Qualifications:

Employment:

Statement In Support Of Application:

Reference:

Support Requirements:

Declarations:

Registration Payment: $80.00 (Non-Refundable)*

Payment Methods

🏛️ Accreditation Statement

Registration Payment: $80.00 (Non-Refundable)