Personal Information:

Last Name:    First Name:    MI:  

Sex:  Choose one... Female Male

Street Address:  

City:    State:   Choose One... AK AL AR AZ CA CT CO DE FL GA HI IA ID IL IN KY KS LA MA MD ME MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VT WA WY WI VA WV   Zip:  

Home Phone:   (no dashes)  Office Phone:    Cell Phone: 

E-Mail Address:  

Names of Parents, guardian or nearest living relative: 

Their Address:

Date of Birth:  Choose One Jan Feb March April May June July Aug Sept Oct Nov Dec /  /    

Do you have any special needs in order to attend class?:

Are you a baptized Christian?:  Choose One... Yes No   

If yes, what denomination are you a member, if any?:

Background Information:

Name of last high school attended:     High school graduation year: 

Address of high school: 

GED certificate:  Choose One... Yes No NA         GED certificate year:

Have you taken the ACT?:  Choose One... Yes No NA         ACT score:

Have you taken the SAT?:  Choose One... Yes No NA           SAT score:

In what kinds of Christian ministry have you participated? (music, preaching, teaching, etc.)

College:

List all colleges attended. Include name, address, years attended and degrees received.

Interest Information:

What is your purpose for coming to ABC?:

If you are already committed to a church-related vocation, what is it? (preaching ministry, church music, Christian education, Christian missions, church secretary, other)