1. Last Name ___________________First Name __________________Middle _____________
2. Street Address ______________________________________________________________
City______________________State________Country_____________Postal Code ________
3. Home phone __________________________ Office phone ___________________________
4. Date of Birth (mm/dd/yy) ______ /______ /___ 5. SSN/SIN _____-____-_____ Sex ______
6. Church membership:__________________________________________________________
7. Pastor's Name___________________________________Phone ______________________
8. Pastor's Address _____________________________________________________________
City______________________State________Country_____________Postal Code ________
9. Sponsor's Name___________________________________Phone ______________________
10. Sponsor's Address _____________________________________________________________
City______________________State________Country_____________Postal Code ________
PART
II:
Why
you want to participate in the Freedom Achiever's Program (may be completed
by
sponsor
if necessary)?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
PART
III:
Application
Checklist:
1.
____ I have attached a written account of my salvation experience.
2.
____ I have enclosed a current photograph of myself
3.
____ I have enclosed $75 (U.S.) for the cost of tuition.
4.
____ I (Sponsor) have include my recommendations of duties for the student
to complete:
(The
work may be done in the local church or area and it may include such things
as serving as an usher, helping in the nursery, church office work, assisting
in hospital or nursing home visits, bus safety monitor and many other practical
areas of ministry.)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
This
application must be completed and signed before it will be processed.
If you have questions
about
the application process, please call or email.
______________________________________________
__________________
Signature
of applicant
Date signed
______________________________________________
__________________
Signature
of Sponsor
Date signed
______________________________________________
__________________
Signature
of Parent (if applicant is under age 18)
Date signed
Help us serve you and future FBCS students better:
1.
How did you find out about Freedom Bible College & Seminary?
(If you were told about FBCS
from
one of our students or alumni, please provide his or her name)? _________________________
______________________________________________________________________________________________
2.
Why did you choose Freedom Bible College & Seminary?____________________________________
_______________________________________________________________________________________________
3. Are you interested in becoming an FBCS Regional Representative?_________________________
4.
Suggestions?______________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________