Application for Admission

Applicant
I expect to enroll for the*

Fall SemesterSpring Semester
I wish to attend*

Full TimePart Time
Year of Enrollment*
Who referred you to Fairhaven Baptist College?
Your Name*

First NameLast Name
Middle Name
Preferred Name (if different than above)
Personal Cell Number (or best contact number)*
(123) 456-7890
Email*
myname@example.com
Confirm Email*
myname@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
(123) 456-7890
Date of Birth*

MonthDayYear
Date
Social Security Number*
Place of Birth*
Citizenship*
Nationality*
Race*
Marital Status*
Spouse's Name and number of children (if applicable)
Is former husband or wife living? (if applicable)

Parent or Guardian
Father's Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
(123) 456-7890
Are your parents in accord with your attendance at Fairhaven?*

YesNo
Occupation of Parent of Guardian

Christian Experience
Are you a church member?*

YesNo
Name and address of church (if applicable)
Pastor's Name (if applicable)
Do you attend regularly?*

YesNo
Do you know what it means to be saved?*
Do you have the assurance of your salvation?*
Do you adhere to our beliefs as a fundamental, independent, Baptist church college?*

YesNo
A PHOTO OF THE APPLICANT IS REQUIRED. PLEASE ONE OF THE TWO OPTIONS BELOW TO SUBMIT A PICTURE.
Applicant Photo (Attach a digital copy here.)
Applicant Photo (Use your computer camera.)

Personal
List any positions you have held that required extra skills.
Employer
Years of experience
Do you engage in any questionable worldly amusements such as card playing, theater attendance, dancing, etc.?*
If so, please explain here.
Have you ever used tobacco, alcoholic beverages, or drugs?*

YesNo
If so, please explain here.
Are you now or have you ever been under the supervision of a parole officer or under the custody of a juvenile (or other) court?*

YesNo
Have you ever had a police record?*

YesNo
If so, please explain and give dates and complete name and address of the judge or probation officer here.
Have you ever served in the United States Armed Forces? If so, please provide dates of service as well as nature and circumstances of your separation from this service.*
Do you have any serious physical handicap? If so, please explain.*
Have you ever been treated for any nervous, mental, or emotional disorder? If so, over how a period? Please provide name and address of attending physician or psychiatrist.*
Are you in debt? If so, how much.*
Are you prepared to make the initial down payment of $500 before arriving?*
Applicant must submit an autobiography (minimum of 200 words). Include information about your home, family, work, church, and school life. In your own words give your educational objective, purpose in life, source of interest in Fairhaven, and if you are a transfer student, the reason for transfer.
Upload your autobiography here or type it below.
Autobiography
I declare that it is my honest desire to attend Fairhaven Baptist College because I feel that it is the Lord's will for me. I further promise that I will abide by the rules and standards of conduct of the college. If I am accepted and find that I am unable to attend, I will cancel my reservation BEFORE the day of registration.
Signature of Applicant*

Financial Assistance Application
Please check the type of financial assistance you are requesting.
- All Scholarships are on a first-come, first-serve basis.
- Requests for scholarships do not guarantee the scholarship being awarded.
- Scholarship requests must be received each year by the 16th of July.
- Only 1 scholarship type can be requested.
MISSIONARY SCHOLARSHIP

Yes, I'd like to apply for this scholarship.
MISSONARY SCHOLARSHIP DETAILS

Awarded to students who are single, dependent children in whose immediate family the primary wage earner is a full-time missionary on the foreign field.
GI BILL/VETERANS BENEFITS

Yes, I'm qualified to receive veterans benefits for educational purposes.
PASTOR'S SCHOLARSHIP

Yes, I'd like to apply for this scholarship.
PASTOR'S SCHOLARSHIP DETAILS
- Based on Pastor's recommendation
- May not be used in addition to any other scholarship awarded, except Empowered Youth Scholarships
- $250 will be applied to the student’s tuition each semester, for up to four semesters total
- Must be a full-time dorm student for four semesters to qualify
- If you are campused for disciplinary purposes, you will lose your scholarship for the following semester
- If you leave school before the semester is finished, you lose the ability to have your scholarship re-instated
ACADEMIC SCHOLARSHIP (2-4 year degrees only)

Yes, I'd like to apply for this scholarship.
ACADEMIC SCHOLARSHIP DETAILS
- Based on Pastor’s recommendation, academic achievement, and testimony
- Must be the valedictorian of your graduating class (minimum class size of 3), or salutatorian (minimum class size of 5) and have a B average or above
- May not be used in addition to any other scholarship awarded, except Empowered Youth Scholarships
- $500 will be applied to the student’s tuition for each semester, for up to eight semesters total
- Must be a full-time dorm student for eight semesters to qualify
- If you are campused for disciplinary purposes, you will lose your scholarship for the following semester
- If you leave school before the semester is finished, you lose the ability to have your scholarship re-instated
CHRISTIAN CHARACTER SCHOLARSHIP (2-4 year degrees only)

Yes, I'd like to apply for this scholarship.
CHRISTIAN CHARACTER SCHOLARSHIP DETAILS
- Based on Pastor’s recommendation and Christian testimony
- May not be used in addition to any other scholarship awarded, except Empowered Youth Scholarships
- $500 will be applied to the student’s tuition for each semester, for up to eight semesters total
- Must be a full-time dorm student and enrolled in a four-year degree program to qualify
- If you are campused for disciplinary purposes, you will lose your scholarship for the following semester
- If you leave school before the semester is finished, you lose the ability to have your scholarship re-instated

Application/Registration Fee$180.00

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Total $0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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Applicant

Parent or Guardian

Christian Experience

Educational Background

Personal

Medical Record

Financial Assistance Application