BCBC Application Form

FRESHMAN APPLICANTS should submit the following:
• Completed and signed application with $30 processing fee.
• Official high school transcripts.
• Official SAT or ACT score (from testing center or transcript).

TRANSFER AND GRADUATE APPLICANTS should submit the following:
• Official academic transcripts from all colleges and universities attended.
• Completed and signed application with $30 processing fee.

Social Security No. ________ - ________ - ___________

Name ______________________________________________________________________________

Permanent Address _________________________________________________________________

City __________________________________ State __________________ Zip _________

Mailing Address (if different) __________________________________________________________

City __________________________________ State __________________ Zip _________

Telephone: Home _______________________________ Work ______________________________

Birth Date _________________________ Birth Place __________________________________

Gender: Male Female

Are you a U.S. citizen? Yes No

   If No, list country of origin _________________________

   Type of Visa _______________________
   Permanent Resident Yes No
   Alien Registration No. _______________________

   Have you taken the exam "The Test of English as a Foreign
   Language"?
   Yes No    If Yes, TOEFL score: __________

(BCBC is not authorized to issue the I-20 form for foreign students who desire to come to the U.S. on a student visa.)

Ethnicity (Optional):
   American Indian Asian/Pacific Islander
   Black/Non-Hispanic Caucasian Hispanic
   ________________________

Religious Affiliation _____________________________________________________________

Church you attend _________________________________________________________________

Church address ____________________________________________________________________

Pastor's Name _____________________________________________________________________

Are you a Veteran? Yes No

How did you first hear about Bay Cities?

___________________________________________________________________________________

Have you ever visited Bay Cities? Yes No

If Yes, when? _________________________________________________

Marital Status ____________________

If married, name of spouse ____________________________________

No. of Children? ______________ No. living at home? ______________

List any long term illness or disability:

___________________________________________________________________________________

I am applying for admission to Bay Cities for:
   Fall Quarter 20___
   Winter Quarter 20___
   Spring Quarter 20___

I wish to enter as a/an:
   Freshman
   Transfer
   Graduate
   Audit (non-credit) student

Specify program you plan to enter:

No Degree Objective:
ACSI Teacher Certification
ETA Training Certificate

Bachelor of Arts (B.A.) degree in Biblical Studies:
   Concentration in Pastoral Ministry
   Concentration in Christian Education
   Concentration in Biblical Counseling

Master of Arts (M.A.) degree in Biblical Studies

Educational Data

Type of high school from which you will/did graduate:
   Public
   Private
   Parochial
   Graduation Date: ____________________

GED? Date: Month ________________ Year ______

I took/plan to take:
   SAT
   ACT
   Date: Month ________________ Year ______

NOTE: It is your responsibility to see that an official transcript from each institution is sent to the Bay Cities Admissions Office.

List of the high school of graduation and colleges and universities you have attended:

Name: ___________________________________________________ Date: ___________________

Location: _________________________________________________________________________

Name: ___________________________________________________ Date: ___________________

Location: _________________________________________________________________________

Name: ___________________________________________________ Date: ___________________

Location: _________________________________________________________________________

Name: ___________________________________________________ Date: ___________________

Location: _________________________________________________________________________

Transfer Student

Are you eligible for readmission to the last college you attended?
Yes No

Have you ever been dismissed from any school or college?
Yes No
If Yes, explain fully on a separate sheet.

Family History

Name of Parent(s) _________________________________________________________________

Address ___________________________________________________________________________

City ____________________________________ State _____________________ Zip _________

Have any of your relatives been associated with Bay Cities?
Yes No

Name of relative __________________________________________________________________

In case of emergency, please notify _______________________________________________

Home Phone No. _________________________ Work Phone No. ___________________________

Address ___________________________________________________________________________

Activities

School activities (awards, activities, clubs, offices held, and athletic participation since 9th grade):

___________________________________________________________________________________

Community involvement (civic, volunteer, church activities and hobbies):

___________________________________________________________________________________

Work experience:

___________________________________________________________________________________

Using the space below, discuss which of your activities (school activities, community involvement or work experience) has significantly influenced your life and why.

___________________________________________________________________________________

Personal Statement

Are you a born-again Christian? Yes No

Briefly state your personal Christian testimony and education objective in applying for admission to BCBC (a paragraph or two will be sufficient).

___________________________________________________________________________________

Describe your most significant experience, and tell how it has affected your life.

___________________________________________________________________________________

Signature: _______________________________________ Date: __________________________

APPLICATION FOR ADMISSION