DON BRADFORD BIBLE COLLEGE APPLICATION

DON BRADFORD BIBLE COLLEGE

Student Enrollment Form
871 O'Neal Ln. Baton Rouge, LA. 70816

(225) 960-7168

donbradfordbiblecollege@gmail.com
INSTRUCTIONS FOR COMPLETING THE APPLICATION PROCESS ARE AS FOLLOWS:
1. Please PRINT or TYPE ALL ANSWER QUESTIONS. If a question does not apply, please answer with "N/A".

2. An application fee of $50.00 must accompany the completed application and be submitted to the DBBC admissions office prior to registration.

3. Place a recent photo in the area provided on this application.
Photo Upload*

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Which program are you enrolling in? (Choose all that apply)*

Associate'sBachelor'sMaster'sDoctorate
*ATTACH YOUR MOST RECENT DIPLOMA / TRANSCRIPT

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I. PERSONAL INFORMATION*

Mr.Mrs.Ms.Dr.
Name*

FIRST NAMELAST NAME
MI
Choose One (If applicable)

Sr.Jr.Other
MAIDEN NAME IF APPLICABLE
MAILING ADDRESS*
CITY*
STATE/PROVINCE*
ZIP CODE*
HOME PHONE*
Please enter a valid phone number.
WORK PHONE
Please enter a valid phone number.
CELL PHONE*
Please enter a valid phone number.
ALTERNATIVE PHONE
Please enter a valid phone number.
Physical Address*

PHYSICAL ADDRESS

Street Address Line 2

CITYSTATEZIP

Postal / Zip Code
BIRTHDATE MM/DD/YYYY*

MonthDayYear
Date
PLACE OF BIRTH*
SEX*

MALEFEMALE
MARITAL STATUS*

SINGLEMARRIED
OCCUPATION*
EMAIL*
example@example.com
CHURCH DENOMINATION*
CHURCH PRESENTLY ATTENDING*
PASTOR'S NAME*
II. MINISTRY EXPERIENCE INFORMATION / MINISTRY EDUCATIONAL GOALS
CURRENT MINISTRY STATUS, IF ANY*

SENIOR PASTORASSISTANT PASTOREVANGELISTCHILDREN'S MINISTERYOUTH MINISTERMUSIC MINISTEROther
ARE YOU CURRENTLY LICENSED OR ORDAINED?*

LICENSEDORDAINEDN/A
CREDENTIALING ORGANIZATION
NUMBER OF YEARS
III. EDUCATION

LIST ALL EDUCATIONAL INSTITUTIONS THAT YOU HAVE RECEIVED A DIPLOMA AND/OR DEGREE FROM:*

	Name of School	Dates Attended	Major	Diploma / Degree Earned
School #1
School #2
School #3

IV. GOALS
What are your spiritual goals? How will your enrollment in The Don Bradford Bible College further enhance your spiritual goals?*
V. FINANCIAL INFORMATION
I AGREE TO PAY THE FULL TUITION AMOUNT FOR THIS SCHOOL SESSION IN THE FOLLOWING MANNER:*

TOTAL AMOUNT IN FULLPAYMENT IN 1/2 BY SEMESTERPAYMENT IN INSTALLMENTS ACCORDING TO DATES
PLEASE ACKNOWLEDGE THE FOLLOWING BY SELECTING EACH ITEM:*

I UNDERSTAND THAT THE APPLICATION FEE MUST ACCOMPANY THIS APPLICATIONI UNDERSTAND THAT UPON ACCEPTANCE OF MY APPLICATION, I MUST SUBMIT THE REGISTRATION FEEI UNDERSTAND THAT NEITHER THE APPLICATION FEE, NOR THE REGISTRATION FEE IS REFUNDABLE
PAYMENT METHOD*

CHECKCREDIT CARD
Applicants Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

DON BRADFORD BIBLE COLLEGE

INSTRUCTIONS FOR COMPLETING THE APPLICATION PROCESS ARE AS FOLLOWS: