Graduate School Application

Step 1 of 5: General Information

Marked fields are required.

First Name:


Middle Initial:


Last Name:


Maiden Name:


Preferred Name:


Gender:
Select... Female Male

Name(s) on previous records if different from above


Social Security Number:


Birthdate:


Home Number:


Work Number:


Cell Phone Number:


Email:


Desired Entrance Term:
Select... Fall 2017 Fall 2018 Fall 2019

Present Address

Mailing Address:


Address Line 2:


City:


State:


Zip Code:

Permanent Address

Permanent Address:


Address Line 2:


City:


State:


Zip Code:

Spouse Information

Marital Status:
Select... Single Married Divorced Widowed

Spouse Name:


Number of Dependents


Home Number:


Work Number:


Cell Phone Number:

Emergency Contact

Name:


Relationship


Home Number:


Work Number:


Cell Phone Number:

Citizenship

United States Citizen?
Select... Yes No

If no, country of citizenship:


Are you a registered alien in the U.S.?
Select... Yes No

If yes, INS admission number:


What is your first language (if other than English)?

Ethnicity/Race

In order to meet U.S. government requirements for student loans, certain information about our student body is required. This information is requested for purposes of reporting to federal compliance agencies only and will not be used in determining admission status.

National Origin(optional):

Ethnicity:
Select... Hispanic or Latino Not Hispanic or Latino
Optional

Race:
Select... American Indian or Alaska Native White Black or African American Native Hawaiian or Other Pacific Islander Other(Specify below)
Optional

Tribal Affiliation:

If American Indian or Alaska Native

Other:

Step 2 of 5: Educational Information

Marked fields are required.

Program of Interest (M.A.):
Missional Leadership
Global Theology

What influences led you to consider Graduate Studies at Trinity Bible College?
Please check all that apply.
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Attended TBC
Campus Visit
Church
College advisor
College Ministry Group
Friends
General Council
Magazine
Pastor
Personal Inquiry
Relative Attended
Social Media
TBC Alumni
TBC Staff/Faculty
TBC Student
Twitter
Website
Other
If Other:


List the colleges you have attended.

College #1 Information

Name of College:


City/State/Zip:


Dates Attended:


Graduation Date:


Degree Earned

College #2 Information

Name of College:


City/State/Zip:


Dates Attended:


Graduation Date:


Degree Earned

Other Colleges

If you have attended more colleges please list them here: College, Dates Attended, Degrees Awarded, Date of receipt or expected receipt

Additional Academic Information

Have you ever applied for admissions or taken a course for audit or credit at TBC?
No
Yes
If yes, when?


Are you currently enrolled in another school?
Yes
No
If yes, where?


Have you ever been denied admission to, been dismissed from or been on disciplinary probation at any college, seminary, or graduate school?
Yes
No
If yes, please explain:


Are you considering enrolling at any other graduate program?
Yes
No
If yes, where?

Step 3 of 5: Personal Information

Marked fields are required.

Personal Information

Have you ever been arrested, charged, or convicted of anything other than parking or traffic violation?

No
Yes
If yes, please explain:

The following questions are voluntary

Are you now or have you ever been treated for substance abuse/addiction?

No
Yes
If yes, please explain:

Have you ever been under mental or emotional health care?

No
Yes
If yes, please explain the resolution or state of ongoing care:

Are you currently involved in a lifestyle that conflicts with scripture and/or standards of the college as outlined in the Code of Conduct in the Student Handbook?
No
Yes
If yes, please explain:

Students with disabilities

Any student who anticipates the need for reasonable academic accommodations while attending TBC must apply to the Graduate Studies Office upon admission or no later than 30 days prior to enrollment. Any requests for accommodation are the sole responsibility of the student. Documentation of the disability must be provided in order to be eligible for accommodations.

Church Affiliation and Employment

Have you accepted Christ as your Savior? Select... Yes No

Date:

Have you received the baptism of the Holy Spirit according to Acts 2:4? Select... Yes No

Date:

Church Affiliation

What church do you currently attend or serve?
Name of church, city /state


Denomination affiliation


Name of Pastor


Are you a member of this church?
Yes
No

Denomination

What do you consider your denominational affiliation?


If AG, what is your home district?

Credentials

Do you hold ministerial credentials with the AG?
Yes
No
If yes, which district?


Check the current level of credentialing you have received and indicate the date received:
Ordained Licensed Certified
Date:


Do you hold ministerial credentials with a denomination other than AG? If yes, which one?


If not credentialed, will you be pursuing ministerial credentials?
Yes
No
Denomination

Employment

Are you currently a:
Pastor
Missionary
Evangelist
College Teacher

What is your position?


Where are you employed?

Step 4 of 5: Financial Information

Marked fields are required.

Financial Information

Indicate the total amount of current educational loan debt:


How do you plan to finance your graduate studies?


Do you plan to apply for a scholarship or tuition waiver?
Yes
No

Do you plan to use Veterans’ Benefits? Select... Yes No

Step 5 of 5: Signature

Marked fields are required.

Signature

TBC maintains certain standards which are required of every member of our community even if they differ from personal convictions and preferences. By submitting this form I indicate that I have read, understand and agree to abide by the principles and expectations outlined in the Student Handbook. Failure to comply with these standards will result in disciplinary action and possible dismissal.

By submitting this form you certify that, to the best of your knowledge, all responses on this application are true and correct, and if approved for admission to TBC you are willing to submit to all the regulations of Trinity Bible College.

Do you verify that all information contained in this application is true? Select... Yes No

Do you waive your right to see these confidential references, understanding that signing here is not a condition for admission? Select...Yes No