Application

This application is good for 3 months (90 days) from the date of submission. If you let it go longer than this, you will need to re-apply and pay an additional $100.00 for processing fees.

Name (As if on Degree):

Maiden Name:

Email Address:

2nd Email

SSN:

Date of Birth

Phone:

Work Phone:

Cell Phone

Current Address:

City

State:

Zip:

Country:

Employment Information:

Current Employer:

Immediate Supervisor:

Length of Employment?

Position:

Employers Address:

City

State

Zip

Phone:

Email:

Fax:

Personal Information

Emergency Contact

Phone

Email (required)

Spouses Name

# Of Children

Names And Ages

Educational Information

High School

Location

Credits

Degree

Date

College

Location

Credits

Degree

Date

Grad College

Location

Credits

Degree

Date

Send college all transcripts directly to SBC at: 2525 M. St. Bakersfield, CA 93301

Faith Information

Yes

Have You Recieved Jesus as your personal Savior as given in John 3 and Romans 10:9-10.

Testimony

Write a brief testimonial on how you came to know the Lord as your personal Savior, here:

Pastors Name - Phone Number

Church of Attendance - Name and City, State

Are you involved in any of the following areas

Do You Smoke

Yes

Drink Alcohol

Yes

Homosexual Relationships

yes

Extra-Marital Sex

yes

Illegal Substances

yes

Pre-Marital Sex

yes

Pornography

yes

Hate Groups

yes

A "yes" answer on any above question does not neccesarily exclude you from being accepted as a student. If yes is answered on any of the above and is within the last three years please explain

By signing this document I am stating that I am in agreement with the statement of faith and purpose, the rules of conduct, grievance procedure, and the pledge for students (see website). I realize that I have answered these questions to the best of my ability and I further realize that any false statements on this application are grounds for immediate dismissal from the college without refund.

Name

I realize that by filling in the Block Above (Name Block) and by filling in the date, that I am electronically signing this document and that this is valid and is considered an authentic electronic signature.

Others Who Would Be Intereseted In SBC

Name

Address/Phone/Email

Name

Address/Phone/Email

Ministry Experience

How many total hours of ministry experience do you have?

Pay your Application Fee, now.

By checking this box I acknowledge that once I click apply, below, I will be sent to the Summit Bible College website at www.summitbiblecollege.com to pay for the application fee. I understand that when I enroll, the $100.00 fee is non-refundable but 100% of it will go towards my tuition once I am accepted. I also understand that this application is only good for 3 months (90 days) after today's date.

Office Use Only

$100 App Fee

Testimony:

Ref. Letter:

Testimony:

Transcripts:

Ministry Exp:

Email Sent:

Letter of Acceptance:

Dn Pymt:

Books Shipped:

Program:

Follow up on Let of Accept:

Other:

Indicates Response Required

Administration and Finance	Bible College Teacher	Bible Study Teacher
Church or Ministry Counseling	Evangelism with a Ministry	Helps in a Church or Ministry
Homeless Shelter	Missions	Pastor or Assist. Pastor
Rehabilitation Centers	Seminar (For Ministry)	Sunday School Teacher
Street Ministry	Youth Leader	Worship Leader
Other