Admission Application

* Required

Application Date:

Enrollment For: FallSpringSummer

Enrollment Year:

Program of Study:

Certificate (Non-Degree)Associate of ArtsBachelor of ArtsMaster of Ministry (Prerequisite: Bachelors Degree)

Area of Concentration:

Your Last Name* :

Your First Name* :

Your Middle/Maiden Name* :

Email Address* :

MAILING ADDRESS DETAILS

Street Address* :

City* :     State* :

Zipcode*:

CONTACT NUMBERS

Home* :   Work :    Cell :

Last Four SSN*:      DOB*: Sex*: MaleFemale

Birthplace :

Citizenship* :

Type of Visa :

Marital Status: SingleMarriedDivorced   

Spouse's Name :

Armed Forces : YesNo

Branch of Service :

Date of Service :

Type of Discharge :

Date of Discharge :

Occupation :

Present Employer :

Employer Address :

Have you ever been convicted of a criminal offense, excluding traffic violations? : YesNo

If yes, please explain :

Religious Preference* :

Denomination :

Name of Church* :

Pastor* :

Parent/Guardian Name:

Parent/Guardian Address:

Parent/Guardian City* :     Parent/Guardian State* :

Parent/Guardian Zipcode*:

Parent/Guardian Occupation :

Parent/Guardian Employer :

Financial Aid* :YesNo

Entering Huntsville Bible College as: FreshmanTransfer StudentOther

High School Name*:

Highest Grade Completed:      GED*: Date Awarded:

Colleges Attended Location:      Degree Earned:

Colleges Attended Location:      Degree Earned:

Colleges Attended Location:      Degree Earned:

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