2018-2019 EBI Registration Form

Elnora Bible Institute Application Form

Online application for EBI 2018-2019 Terms
Are you a first-time applicant to EBI? (Please select before moving on) *

New Student Returning Student
Application process for applying to EBI: (Please read carefully!)

1. Read the EBI Catalog/Student Handbook

2. Complete this online form.

- Two personal references (first-time students) and one minister reference are required to process your application. References you specify on this form will be notified via email. (If reference's email addresses are not available, you will need to give them the appropriate reference forms - intructions included in this form)

- You will need to provide (1) a high school transcript or (2) a letter stating willingness to study at a post high school level if no transcript is available or you have not graduated from high school.

3. Send application fee to EBI via check or online payment. (instructions included in form)

Please note:

The 2 personal references you specify will be emailed a link to submit a reference form

Your minister will be emailed a link to submit a minister reference

You will receive notifications when references are submitted

Important: Make sure the email addresses you provide are correct!
Personal Information
Full Name *

First Name Middle Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Gender *
Date of Birth *

- Month - Day Year
Marital Status *
Spouse's Name

First Name Middle Name Last Name
Cell Phone Number
Home Phone Number
Email Address *
Parent(s) Names *
Parent's Phone Number *

Church Affiliation

Note: Pastor will be email a reference form to fill out and submit.
Church where you are a member *
Church you presently attend *
Pastor's name (Note: If your father is the pastor, please submit contact information for another minister or church leader.) *

First Name Last Name
Provide your pastor's email address *

Email address available: I will provide pastor's email address for him to receive recommendation form automatically No email address available: I will personally give recommendation form to my pastor (instructions included)
Pastor's E-mail (Pastor will receive email instructions to fill out Minister recommendation form) *
Please give this form to your pastor and have them send it directly to EBI.
Pastor's Phone Number *
References (first-time Students)

Please list 2 non-family references and contact information.
1st Reference's Name (Reference will be notified via email to submit a reference form) *

First Name Last Name
Provide your 1st reference's email address *

Email address available: I will provide reference's email address for them to receive reference form automatically No email address available: I will personally give reference form to my reference (instructions included)
Please give this form to your reference and have them send it directly to EBI.
1st Reference's E-mail *
1st Reference's Phone Number *
2nd Reference's Name (Reference will be notified via mail to submit a reference form) *

First Name Last Name
Provide your 2nd reference's email address *

Email address available: I will provide reference's email address for them to receive reference form automatically No email address available: I will personally give reference form to my reference (instructions included)
Please give this form to your reference and have them send it directly to EBI.
2nd Reference's E-mail Address *
2nd Reference's Phone Number *

Educational Experience
Highest year of school completed *
Degree Aquired *
School setting *
Upload high school transcript here if available ...
... or have transcript mailed to:

Elnora Bible Institute

101 S State Road 58

Elnora, IN 47529

If high school transcript not available ...

Please fill out letter of intent form located here and scan/email to elnorabi@gmail.com or mail to EBI at the address listed above.
Have you attended a Bible Institute before?
Which Bible Institute?
Years attended
Briefly state why you would like to attend EBI *
Please write your personal testimony (You may want to type in separate document, then copy and paste here) *

		2018-2019 1st Term	2018-2019 2nd Term	2018-2019 3rd Term	2018-2019 4th Term
Tuition	$95 per credit hour
Room & Board		$1125	$250	$500	$500
IT Fee		$20	$10	$15	$15
Activities Fee		$20	$10	$15	$15
Choir Fee		$150	$25	$100	$175
Room Deposit		$25	$25	$25	$25

Elnora Bible Institute Application Form

Personal Information

Church Affiliation

References (first-time Students)

Educational Experience

Class Selections

2018-2019 1st Term: 15 weeks

2018-2019 2nd Term: 3 weeks

2018-2019 3rd Term: 6 weeks

2018-2019 4th Term: 6 weeks

Submit Application

Please provide a recent photo of yourself (first-time Students)

Application Fee

Attention:

Enter coupon