Enrollment Application

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone

### - ### - ####

Cell

### - ### - ####

Email

Country of Citizenship

Marital Status

Single

Married

Divorced

Widowed

Name of Spouse

Number of Children

EDUCATION

Please have copies of your current High School (GED) and/or College Official Transcripts sent to: (High School Transcript needed if you graduated within the last 5 years)

The Office Of Admissions
TEXAS BAPTIST BIBLE COLLEGE
P.O. BOX 16567
Fort Worth, Texas 76162-0567

High School Graduate:

Graduation Date

Name of High Scool

Address of High School

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

List Colleges Attended: (List name, Dates Attended, Reason for Leaving, or Degree Received.)

Name of College

Dates Attended

Reason For Leaving or Degree Received

Name of College

Dates Attended

Reason For Leaving or Degree Received

Name of College

Dates Attended

Reason For Leaving or Degree Received

PERSONAL INFORMATION

Please answer the following questions. ALL information divulged will remain completely confidential.

Have you ever been dismissed from school for disciplinary reasons or placed on academic probation?

If Yes, please give explanation

Have you ever been arrested?

If Yes, please give explanation with names and addresses of judges and probation officers involved. Student records are confidential.

Do you have any health problems that requires special attention?

If Yes, please give explanation

Have you ever received Psychological Counseling for emotional or mental difficulties?

If Yes, please give explanation

Please detail why you wish to attend Texas Baptist Bible College?

How do you intend to attend TBBC?

Classroom Location

Online

Combination

Check your enrollment status

Full Time

Part Time

Give a brief statement of your personal history, testimony of salvation and call to Christian service.

What is your preferred major couse of study?

Are you interested in graduate studies?

Which local church do you attend?

Church Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

REFERENCES

Nearest living relative (Other than Spouse)

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Acquaintance of greater than three years

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Acquaintance of greater than three years

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

ACCURACY OF INFORMATION DECLARATION

I have checked this application and am satisfied that all the information is complete and correct. I agree to submit a photograph (via email) and $25 non-refundable Application Fee either by USPS to the Office of Admissions or via the PayPal link on this page.

Electronic Signature (Enter full name and last 4 digits of your SSN)