Audit Application

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Application to Audit

* Indicates required field

Salutation *

First Name *

Last Name *

Middle Initial *

Gender *

Male Female

Nickname *

Date of Birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Primary Phone *

Alternate Phone *

Email *

May we contact you via text? *

Yes No

Marital Status *

Single Engaged Married Seperated Divorced Remarried Widowed

Brookes Bible College holds that the only biblical marriage relationship is that between one man and one woman, and that those called into ministry have the responsibility to live as good examples in this area. Are there any relationship situations, past or present, that would hinder your ability to minster in this way? *

Yes No

Language *

English Spanish Other

Emergency Contact

Name *

First

Last

Relationship *

Phone Number *

Email *

Influence

What factors influenced you to apply to Brookes Bible College? (check all that apply)? *

Current Students Alumni Church Leader Parent Degrees Available Price Location Doctrine Advertisement

Check all that apply

Choose Any *

Billboard Website Radio Advertisement College Fair Sign Out Front Current Student/Alumni Pastor/Church Leader BBC Faculty Member Other

If more than one influence, what was the greatest? *

Enrollment

For which semester are you applying? *

Spring Summer Fall

Church Information

Church you attend *

Are you a member? *

Yes No

Pastor's Name *

Denomination *

Church Website or Email *

Phone Number *

Church Address

Address *

Line 1

Line 2

City

State

Zip Code

Country

Name of individual completing pastoral reference *

Email *

Phone Number *

Employment

Are you currently employed? *

Yes No

Name of Employer *

If you are not currently employed write "Not Employed"

Occupation *

If you are not currently employed write "Not Employed"

Supervisor *

If you are not currently employed write "Not Employed"

Phone Number *

Company Website or Email *

If you are not currently employed write "Not Employed"

Address *

Line 1

Line 2

City

State

Zip Code

Country

Background (Confidential)

If you answer YES to any of the following, please explain in the text box below.

Has an educational institution ever placed you on probation, suspension or dismissal? *

Yes No

Are you now, or have you ever been involved in any substance abuse (drugs, alcohol, tobacco)? *

Yes No

Do you have any record of arrest or conviction (excluding traffic violations)? *

Yes No

Please use his section to provide additional information. *

Statement of Faith

I believe in Jesus Christ as your personal Savior and Lord? *

Yes No

I agree to abide by the rules of the classroom and the instructor *

Yes No

Are you open to instruction in areas of current disagreement with the BBC statement of faith? *

Yes No

While present, are you willing to refrain from promoting views contrary to the BBC statement of faith? *

Yes No

If you answered no to any of the questions above, please explain *

In signing this application, I certify that all the information on this application is true and complete. I understand that falsifying any part of this application may result in cancellation of admission and/or registration. Finally, I promise, if accepted as a student, I will honorably adhere to the standards of the college.

Applicant’s E-Signature (Full Name) *

Date *

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