Application for Admission

Grace School of the Bible
P. O. Box 97
Bloomingdale, IL 601008
(630) 529-0520

TWO OPTIONS: You can either copy/paste this application into an email or print a copy and mail it to our office at the above address.

This form is to be filled out by the applicant and sent to the GSB office at least one month prior to the desired starting date. A recent photo and a $15.00 non-refundable registration fee must accompany it.


Name:

Address:

City:

State and Zip Code:

E-mail:

Phone:

Date of Birth:

Place of Birth:


Date you desire to begin Classes:

I wish to work toward the Diploma:
I wish to apply as a tutorial student with no testing and no credit:

MARITAL STATUS (check one):

Single
Engaged
Married Name of spouse:
Separated Names and ages of children:
Divorced

CHURCH AFFLILATION:

Church you attend:
Pastor's name and address:
What Christian work have you done?
List any musical instruments you play or special talents you or your spouse have:

EDUCATIONAL EXPERIENCE:

Are you a high school graduate?

Graduation date:

Name and address of High School:

List all college, Bible Schools, Professional schools, etc. you have attended with degrees earned:

EMPLOYMENT BACKGROUND (Past 4 years):

Employer Job Title Date & reason for leaving:





PERSONAL REFERENCES:

List three persons (other than relatives or Pastor listed above) who are well acquainted with you:

PERSONAL RESUME:

How did you become interested in Grace School of the Bible?

List factors and/or individuals in order of importance:





Concerning the Doctrinal Statement of GSB, is there anything that you would like to have clarified or with which you disagree?

Please give a brief statement as to how and when you came to know the Lord Jesus Christ as your Saviour:

I understand that if I am accepted into the program, I may not copy or distribute DVDs without specific permission.

Signature