E-mail Address

PERSONAL INFORMATION

Legal Name (Last/ First/ Middle/ Maiden - as on S.S. Card or Passport)

Preferred Name

Permanent Address

City

State

Zip/Postal Code

Country

Primary Phone

Alternate Phone

Birthdate (MM/DD/YYYY)

Citizenship and Residency:

Choose... US Citizen Other Country

Gender

Choose... Male Female

Marital Status (Check All That Apply)

• Married

• Single

• Divorced

• Single Parent

• Widow/Widower

• Separated

Race

Choose... African American Caucasian Hispanic Native American Pacific Islander Oriental Other

Type Of Student

Choose... New Transfer International Previously Enrolled

Housing

Choose... Dormitory Town

Status

Choose... Full-time Part-time

Semester

Choose... Fall Spring Summer

Year You Will Begin

ACADEMIC PROGRAMS

Select your primary area of academic interest.

Choose... Office Administration (2 yr.) Interdisciplinary Studies (2 yr.) Interdisciplinary Studies (4 yr.) Pastoral Theology Assistant Pastor Children’s Ministry Christian Counseling Church Office Non-Profit Management Women’s Ministry Worship Studies Youth Ministry World Missions Urban Missions Voice Music Proficiency Piano Music Proficiency Elementary Education Elementary Special Education English Secondary Education Math Secondary Education Science Secondary Education Social Studies Secondary Education Special Secondary Education Speech/Drama Secondary Education Business Secondary Education Music Secondary Education PE Secondary Education Spanish Secondary Education Other

FAMILY INFORMATION

Father, Guardian, or Husband

Phone Number

Permanent Street Address

City, State and ZIP

Email

Mother or Wife's Name

Phone Number

Permanent Street Address

City, State and ZIP

Email

REFERENCES

Reference - Personal Friend's Name

Phone Number

Reference - Business or Academic Associate's Name

Phone Number

How did you hear about Trinity Baptist College? (Check all that apply.)

• Athletic Department

• Campus Visit

• College Fair

• College Representative

• College Website

• Email

• Family

• Friend

• Letters

• Music Group

• Open House

• Pastor

• Pastor Messer

• Phone

• Postcard

• Youth Conference

• Youth Pastor

SPIRITUAL INFORMATION

Have you trusted Jesus Christ as your Savior?

Choose... Yes No

Briefly describe how and when you came to Christ and where you are in your spiritual journey.

Church of Membership

Street Address

City

State

Primary Phone Number

Pastor

Youth Pastor

ACADEMIC INFORMATION

Please list the most recent high school you attended and all colleges that you attended. Please arrange to have one copy of each official transcript and ACT or SAT scores sent directly to the Office of Admissions.

Currently Attending or Graduated From

Choose... High School Home School GED

Graduation or Expected Graduation Date (Month/Year)

High School Name

School Phone No.

Are you interested in participating in college sports? Please check your interests.

• Men's Basketball

• Women's Basketball

• Softball

• Cheerleading

• Women's Volleyball

• Other

Please list other extracurricular activities you participated in during high school.

Higher Learning Institutions:

1. School Name

Mailing Address (Street/ City/ State/ ZIP)

Dates Attended

Degree(s) Received

2. School Name

Mailing Address (Street/ City/ State/ ZIP)

Dates Attended

Degree(s) Received

CONFIDENTIAL

Have you ever been treated for any nervous, mental, or emotional disorder, or seen a psychologist?

Choose... Yes No

Do you or have you used alcoholic beverages in the last year?

Choose... Yes No

Do you use or have you used dangerous or illegal drugs in the last year?

Choose... Yes No

Have you ever been arrested?

Choose... Yes No

Have you ever been convicted?

Choose... Yes No

Were you ever expelled, dropped, or suspended by any school or college

Choose... Yes No

If "yes" to any of the above, please explain.

AUTHORIZATION OF RELEASE OF INFORMATION

• Applicant represents that all of the above information and statements on the application are true and complete, and hereby authorizes an investigative report including, but not limited to: criminal history records, court records, and credit records. APPLICANT ACKNOWLEDGES THAT FALSE OR OMITTED INFORMATION HEREIN MAY CONSTITUTE GROUNDS FOR REJECTION OF THIS APPLICATION, OR EXPULSION AFTER ENROLLMENT.

REMINDER: The online application is only the first step in the application process. A link will be provided to guide you after clicking “continue” below.