Bible Institute Application 2025-2026

Spanish Eastern District Bible Institute - Hicksville, NY

Rev. Elias E. Mestizo, Principal (516)450-0850
Application - Personal Information

English Classes - Saturdays
Name
Address

Number and Street Address

CityState

Zip CodeCountry
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Social Security Number
If you don't have one use 000-00-0000
Gender at Birth
Date of Birth

MonthDayYear
Country of Birth

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status
If you are married, write your spouse's first and last names
What year will you study in the Bible Institute?

Academic Information
Highest Education Level
Have you studied before in an Assemblies of God Bible Institute?
Name of the Institute where you studied?
Date when you studied
What year did you finish?
Have you studied in any other Bible Institute?
Name of the Institute where you studied?
We will need the Bible Institute transcript
Date when you studied
What year did you finish?

Your christian life information
Date when you were born again in Christ according to John 3:1-7
Write the date you received the baptism of the Holy Spirit according to Acts 2:4
If you have not received it write "I have not received it"
Write the date when you were baptized in water (You must be baptized to study)
If you have not been baptized write "I have not been baptized"
Name of the church you attend
Church address where you attend

Number and Street Address

Street Address Line 2

CityState

Zip CodeCountry
Position you serve in your church
Name of the pastor where you attend

First and Middle NamesLast Name
Pastor's phone number
Format: (000) 000-0000.
Pastor's Email
example@example.com

Emergency Contact
In case of emergency call
First and Last Names / Relationship to you
Emergency contact number
Please enter a valid phone number.Format: (000) 000-0000.

I promise to
You may pay your registration and monthly fees through Zelle by using the email Hicksvillebi@gmail.com (Elias Mestizo).
Click here to download:

Printed Registration Form for New Students and

Pastor's Signature Form for Returning Students
Should be Empty:

Spanish Eastern District Bible Institute - Hicksville, NY