VISION BIBLE COLLEGE

Application for Enrollment

Please fill out this form and mail it along with your $50.00 registration fee to:

Vision Bible College, 4920 Lifeline Drive, Marsing, ID 83639

Please Select One: ____ Distance Learning ____ On-Campus

Main Information:

Name: _______________________ SSN: ____-____-______ Date of Birth: __________

Address:____________________________________________ Sex: M____ F____

City: ____________________________ State:_______________ Zip: ___________

Phone: (day) (____)________________ (evening) (____)________________

Fax #: (____)________________ Email: ___________________________________

Degree Desired:

____Certificate of Biblical Studies ____Associate of Biblical Studies

____Advanced Ministry Diploma ____Bachelor of Theological Studies*

*Preferred Emphasis: (for Bachelors program only)

____Pastoral Ministry ____Youth Ministry

____Worship Ministry ____Christian Counseling

____Women's Ministry ____Christian Education

General Information:

____Single ____Married ____Divorced ____Widowed

Military Service? ___Yes ___No Active Reserve? ___Yes ___No

Serve in a church position: ___Yes ___No Position:______________ How long:____

Name and address of Church you attend:____________________________________

Pastor’s Name: ____________________ Pastor’s Phone#: (____)_______________

Academic History:

Copies of transcripts, if applicable, need to be enclosed with this application or sent for by the student. Student held transcripts are acceptable for evaluations, but official transcripts sent directly from former institutions are required for full admission.

High School: _______________________________

Location: __________________________________ Graduation Date: ____________

College or Bible Institute: ____________________________ Degree: _____________

Location: __________________________________ Graduation Date: ____________

Graduate or professional school: ______________________ Degree: ____________

Location: __________________________________ Graduation Date: ____________

Major: _______________________ Minor: _______________________

Academic Achievements / Honors: _________________________________________

_______________________________________________________________________

(Attach Extra Sheets if Needed)

Optional Information:

This information is for the purpose of reporting to the Federal Compliance Agencies only and will not be used for determining admissions status. Completion is voluntary.

Place of Birth: ________________________ Date of Birth:__________ M____ F____

____Single ____Married ____Divorced ____Widowed

Ethnic Origin: ____Native Alaskan or Native American ____Asian or Pacific Islander

____Hispanic ____Black, Non-Hispanic ____White, Non-Hispanic ____Unknown

References:

Please list the names, addresses, and phone numbers of at least three references. One must be from your local church. The other two can be from your workplace or friends.

Name: __________________________ Address: _____________________________

City: ________________________ State: _________________ Zip Code: ________

Telephone #: (____)_______________

Name: __________________________ Address: _____________________________

City: ________________________ State: _________________ Zip Code: ________

Telephone #: (____)_______________

Name: __________________________ Address: _____________________________

City: ________________________ State: _________________ Zip Code: ________

Telephone #: (____)_______________

Will you be attempting to transfer credits to Vision Bible College from another institution?

___Yes* ___No

*If yes, you must have an official transcript sent to us directly from the institution you wish to transfer credits from.

I give Vision Bible College to contact any references listed in this application. I have also read the statement of faith and the code of conduct in the VBC Catalog and agree to abide by both.

Date: ___________ Signature of Student: _________________________________

Please include your $50.00 registration fee. You can pay your registration fee online at: www.visionbiblecollege.com/distance/registration.htm.
Please include your testimony of how you came to know the Lord and your future goals on a separate sheet.
Also, if possible please include a picture of yourself.
If you plan to transfer credits from a former college or training program you will need to contact your former college(s) and have them mail official copies of your transcripts for transfer evaluation.

Vision Bible College

4920 Lifeline Drive

Marsing, ID 83639

1-888-580-5384