Free Personal Academic Evaluation Confidential

Free Personal Academic Evaluation

Confidential

This request will in no way obligate you to enroll in Vintage Bible College or its programs of study . We will prepare your free Personal Academic Evaluation and present a proposal. If you have any questions or prefer to speak with an admissions counselor by phone, you may contact us at (336) 759-0591. Thank you for your confidence in VBC.

PERSONAL INFORMATION

TITLE:

FIRST NAME: *

LAST NAME: *

GENDER: *

Male Female

I am at least 17 years of age *

Yes No

EMAIL ADDRESS: *

DAYTIME PHONE: (If none state "NONE") *

EVENING PHONE:

STREET/MAILING ADDRESS: *

ADDRESS 2

CITY: *

STATE: *

ZIP CODE: *

DEGREE YOU WISH TO EARN

I am interested in the following:

On-campus studies Online studies

MINISTRY / OCCUPATIONAL EXPERIENCE

OCCUPATION:

# years experience:

INVOLVED IN MINISTRY?

Type of ministry:

# years in ministry:

EDUCATION

HIGH SCHOOL:

STREET ADDRESS:

CITY, STATE:

ZIP CODE:

DATES ATTENDED:

LEVEL ATTAINED: *

List your previous college/university/trade schools attended, beginning with the most recent.

COLLEGE/SCHOOL:

STREET ADDRESS:

CITY, STATE:

ZIP CODE:

DATES ATTENDED:

FIELD & LEVEL OF STUDY:

DEGREE/DIPLOMA EARNED?

Yes No

COLLEGE/SCHOOL:

STREET ADDRESS:

CITY, STATE:

ZIP CODE:

DATES ATTENDED:

FIELD & LEVEL OF STUDY:

DEGREE/DIPLOMA EARNED?

Yes No

COLLEGE/SCHOOL:

STREET ADDRESS:

CITY, STATE:

ZIP CODE:

DATES ATTENDED:

FIELD & LEVEL OF STUDY:

DEGREE/DIPLOMA EARNED?

Yes No

PERSIONAL EXPERIENCE

List all life learning experiences you are requesting to be considered for credit (ministry, life experiences, credentials, accomplishments, internships, military, vocational, professional, etc.).

* Optional : You may attach a detailed resume of your experiences (Microsoft Word .doc only)

I certify that the information provided by me is true to the best on my knowledge. *

yes no

Thank you! We look forward to having you study at Vintage Bible College! Vintage Bible College 4964 University Pkwy. #105, Winston-Salem, N.C.27106 www.vintagebiblecollege.org (336) 759-0591

Note : We do not sell or distribute any information that you provide us; however, you may receive periodic updates or promotions from Vintage Bible College.