FACBIHL Student Admission Application

FRESH ANOINTING CHRISTIAN BIBLE INSTITUTE INC.

Student Admission Application
Applicant Information
Full Name (as it should appear on diplomas and degrees)

First NameMiddle NameLast Name
Street Address or P.O. Box
City
State
ZIP Code
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date of Birth

MonthDayYear
Date
Marital Status
Occupation
Personal Testimony and Background
Testimony: When, where, and how were you saved?
Denominational Background
Church Information
Church Name
Pastor's Name

First NameMiddle NameLast Name
Church Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Educational Background
Educational Background Status
List all schools beyond high school you have ever attended:
School Name
School City/State
School Courses Taken
School Name
School City/State
School Courses Taken
School Name
School City/State
School Courses Taken
Christian Friend Reference
Reference Name

First NameMiddle NameLast Name
Address
City
State
Zip Code
Please read the FACBI INC. Refund Policy. After reading, accept agree to continue.
Take Photo: Please include a copy of your photo identification or driver's license. If unable to do, a scanned copy will need to be sent to the following email address: alice.basnight@gmail.com.
Agreement and Signature
Agreement Confirmation

I have examined the “FRESH ANOINTING CHRISTIAN BIBLE INSTITUTE INC.” Catalog, and I hereby request to become a regular credit-degree student. I am in general agreement with the Doctrinal Statement: and will abide by the Conduct Standards. I certify that all the information on this application is true and accurate to the best of my knowledge.
Applicant Signature
Date Signed

MonthDayYear
Date
Should be Empty:

FRESH ANOINTING CHRISTIAN BIBLE INSTITUTE INC.

Applicant Information

Personal Testimony and Background

Church Information

Educational Background

List all schools beyond high school you have ever attended:

Christian Friend Reference

Agreement and Signature