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Profile

Application Form (1st Time Students)

Are you applying for:

 
*
Semester:
Year:
Have you previously applied:
First Name:
 *
Last Name:
 *
Middle Initial:
Gender:
 *
Street Address:
 *
City:
 *
State:
 *
ZIP:
 *
Email:
 *
Home Phone:
Mobile Phone:
Work Phone:
Birthdate:
    Calendar
Birth Place:
Age:
 *
Married:
 *
Spouse's Name:
Children's name(s) & age(s):
Father's Name:
Father's Address:
Mother's Name:
Mother's Address:
Social Security Number:
Disabilities:
Do you use tobacco, alcohol, or non-medicinal drugs:
High School:
 *
HS City & State:
 *
HS Grad Date:
    Calendar
High School Diploma:
 *
College(s) Attended:
College Grad Date(s) & Degree(s):
Have you ever been dismissed from school? Explain:
Have you ever been placed on probation? Explain:
Have you presonally accepted Jesus as your savior?:
Have you been baptized in the Holy Spirit as in Acts 2:4?:
Do you feel called to a specific field of ministry?:
Name of church you attend:
 *
Church city, state, & phone:
 *
Church denomination:
 *
Are you a member of your church?:
 *
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For a complete application, you must submit a Pastor’s Reference Form, Friend’s Reference Form and Autobiographical Essay. The essay should be 500 words in length maximum. In your essay be sure to include information about your: salvation experience, current relationship with Jesus Christ; current Christian service, life goals and why you would like to attend LBS.
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