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:*

MaleFemale

I am at least 17 years of age*

YesNo

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 studiesOnline 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?

YesNo

COLLEGE/SCHOOL:

STREET ADDRESS:

CITY, STATE:

ZIP CODE:

DATES ATTENDED:

FIELD & LEVEL OF STUDY:

DEGREE/DIPLOMA EARNED?

YesNo

COLLEGE/SCHOOL:

STREET ADDRESS:

CITY, STATE:

ZIP CODE:

DATES ATTENDED:

FIELD & LEVEL OF STUDY:

DEGREE/DIPLOMA EARNED?

YesNo

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)

Select File

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

yesno

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

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