Graduate Studies Application for Admission

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1 Graduate Studies Application for Admission Office use only Date Rec d: Fee Paid: Academic yr: Instructions for Applying for Admission to Graduate Studies at Trinity Bible College 1. Complete this application and mail to TBC with your $25.00 (US) nonrefundable application fee and photograph. Make checks payable to Trinity Bible College. 2. Include a personal autobiography (1 2 pages), with information from your childhood to present, current ministry / vocation and your future ministry / vocational goals. 3. Contact all postsecondary schools and request an official copy of your transcript to be sent directly to TBC. Please type or print all information requested and submit to Trinity Bible College, Graduate Studies, 50 South 6 th Ave, Box 510, Ellendale, ND General Information Name [ ] male [ ] female Last First MI Maiden Preferred Name Social Security Number - - Name(s) on previous records if different from above Present mailing address Permanent mailing address Home phone ( ) Cell ( ) Work ( ) Birth date Marital Status [ ] Single [ ] Married [ ] Divorced [ ] Widowed Spouse s name Number of dependents Spouse s Cell ( ) Work ( ) Emergency contact (other than spouse) Relationship Home phone ( ) Cell ( ) Work ( )

2 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. Ethnicity [ ] Hispanic / Latino t Hispanic / Latino Race [ ] American Indian or Alaska Native Tribal affiliation [ ] White [ ] Asian [ ] Black or African American [ ] Native Hawaiian or Other Pacific Islander United States Citizen? [ ] yes If no, country of citizenship Are you a registered alien in the U.S.? [ ] yes If yes, INS admission number What is your first language (if other than English)? What influences led you to consider Graduate Studies at Trinity Bible College? Please check all that apply. [ ] Advertisement [ ] 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: Educational Information List chronologically ALL schools attended after high school in order from the most recent. School City/State Dates attended Degree Date Awarded or expected Have you ever applied for admissions or taken a course for audit or credit at TBC? [ ] yes If yes, when? Are you currently enrolled in another school? [ ] yes 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 If yes, please explain on a separate page. Are you considering enrolling at any other graduate program? [ ] yes If yes, where? 2

3 Personal Information Have you ever been arrested, charged, or convicted of anything other than parking or traffic violation? [ ] yes If yes, please explain on a separate page. The questions below are voluntary. Are you now or have you ever been treated for substance abuse / addiction? [ ] yes If yes, please explain on a separate page. Have you ever been under mental or emotional health care? [ ] 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? [ ] yes If yes, please explain on a separate page. 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 Are you born-again Christian as described in John 3:1-7? [ ] yes Year born again Have you received the baptism of the Holy Spirit as described in Acts 2:4? [ ] yes What church do you currently attend or serve? Name of church, city / state Denominational affiliation Name of pastor Are you a member of this church? [ ] yes What do you consider your denominational affiliation? If AG, what is your home district? Do you hold ministerial credentials with the AG? [ ] yes If yes, which district? Check the appropriate level and indicate date of credentialing below: [ ] Ordained, date [ ] Licensed, date [ ] Certified, date [ ] Other date 3

4 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 Denomination Are you currently a [ ] pastor [ ] missionary [ ] evangelist [ ] college teacher Where are you employed? What is your position? 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 Do you plan to use Veterans Benefits? [ ] yes Recommendations 4. Please provide the following information on the people you will be using as references for admission to TBC. The recommendations must be from non-family members who have known you for at least three years. You must include a valid telephone number. Ministerial Recommendation: Name Address Home phone ( ) Cell ( ) Work ( ) Academic Recommendation: Name Address Home phone ( ) Cell ( ) Work ( ) 4

5 Signature TBC maintains certain standards which are required of every member of our community even if they differ from personal convictions and preferences. My signature below indicates 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 signing 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. Signature Date Trinity Bible College provides equal education and employment opportunities without regard to race, color, national origin, sex, age, special need, or veteran status. This policy is in conjunction with the Title IX regulation of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973 and Section 402 of the Vietnam Era Veterans Readjustment Assistance Act of Inquiries concerning application of Equal Opportunity, Title IX or section 504 of the Rehabilitation Act of 1973 should be directed to the Graduate Studies Office. Call Trinity Bible College reserves the right to make a decision about whether or not to admit an applicant. 5

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