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Application for Admission to Christ Gospel Bible Institute
to Take Courses for Credit

You may print out this form or complete it electronically. Note: If you are under 18 years of age, you will need your parent or legal guardian’s permission to enroll in the Bible Institute.

Your Name

Your Title: * First Name: * Last Name: * Middle Init:

Your Address

*

City: * State: * Zip *

Your Email *

Verify Your Email *

Password *

Verify Password *

Contact Telephone: *

How should we contact you? E-mail Phone Newsletter Mail

Date of Birth: *

Gender: Male Female *

Please list the highest grade in school you have completed: *

List three people who would give a good reference for your honesty, integrity, and responsibility: Name, Address, Phone, Email 1. 2. 3. *

How did you learn about the Christ Gospel Bible Institute? *

If Other selected above, please explain:

Your Religious Background and Intent

The following questions pertain to your interest in religious studies and your personal faith in God. It is not necessary for you to be a Christian or to attend a Christ Gospel Church in order to enroll in our Bible Institute. Our program is designed to lead you to a deeper personal relationship with Jesus Christ and to strengthen your faith in God, but that is a personal matter between you and your Creator. We do reserve the right, however, to confer diplomas only on those whom we deem to be sincere Christians and who meet other religious and moral criteria of our organization.

What was your religious upbringing? *

Have you accepted Jesus Christ as your personal Saviour? Yes No *

What church do you currently attend? *

For how long?

Denomination?

Are you interested in working toward a certificate or diploma? Yes No *

Why do you want to take Bible Courses for credit with our organization? *

What do you hope to gain from your completion of these Bible courses? *

Do you feel called to the ministry or are interested in becoming either a preacher or a teacher of the Bible? If so, please explain. *

Integrity Promises

Do you give your word of honor to honestly do the workbooks and exams yourself and neither to have someone else do them for you, nor to copy someone else’s answers? Yes No *

Do you promise to respect our copyrights? This means that you promise not to copy, give, duplicate, or otherwise distribute our workbooks and other materials without our written permission. It also means you will not take our studies and paraphrase them and pass them off as your own. Do you promise? Yes No *

Electronic Signature

I certify that the foregoing answers are true and correct to the best of my information and belief.

By clicking the submit button below, I certify that I am signing this application electronically.

Thank you for Your Interest In Applying for Admissions to the Christ Gospel Bible Institute

Your Application will be submitted AFTER you process your payment of $20.

If for any reason, we decline your application, your money will be refunded. Otherwise, this fee is non-refundable. Pay your Application Fee of $20 Now.

Press the PAY NOW button to be redirected to the Christ Gospel Church's eStore so that you may process this payment.

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