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Admissions
» Online Application
Online Application
Title
Mr.
Mrs.
Miss
First Name
Last Name
Middle Name
Birthdate
Street Address
City, State ZIP
E-mail Address
Phone Number (include area code)
Citizenship
United States of America
Canada
Other
Citizenship (Other)
Race (optional)
Place of Birth
Marital Status
Single
Married
Widowed
Divorced / Marriage Annulled
Please explain circumstances of Divorce / Annullment
Do you have any children?
Yes
No
How many children?
Admissions Information
Entrance Date
Fall 2010
Spring 2011
Fall 2011
Spring 2012
Applying as a...?
First-year Student
Master's Student
Transfer Student
Non-degreed Student
Audit Student
Will you be living on campus?
Yes
No
Will you have an automobile at school?
Yes
No
Probably Major
General Studies
Elementary Education
Secondary Education
Missions
Music Education
Pastoral Theology
Pastoral Assistant
Secretarial Science
Associate :: General Studies
Associate :: Secretarial
Associate :: Pastoral
Educational Information
High School Name
City, State
Years Attended
Date Graduated
Do you have a GED?
Yes
No
Do you expect to transfer credits from another college?
No
Yes
Which College?
City and State of College?
Dates Attended?
Did you graduate
Yes
No
Are you eligible to return to the last college or university you attended?
N/A
Yes
No
Please explain why you are not able to return?
Have you taken the ACT?
Yes
No
Are you being home-schooled?
Yes
No
Family Information
Father's Name (Please indicate if deceased)
Father's Occupation
Father's Permanent Street Address
City, State ZIP
Home Phone
Work Phone
Mother's Name (Please indicate if deceased)
Mother's Occupation
Mother's address same as above?
Yes
No
Mother's Permanent Street Address
City, State ZIP
Home Phone
Work Phone
Personal Information
Church Name (current membership)
Church Street Address
City, State ZIP
Church Phone
Name of Pastor
Pastor's Home Phone
Will you be applying for a scholarship at GSBC?
No
Yes
Which Scholarship?
Academic
Family
First GSBC Student
Freedom
Full-Time Christian Service
Missionary's Child
Pastor's Child
Do you have any significant impairment?
No
Yes
Have you ever been treated for any nervous, mental, or emotional disorder, or been seen by a psychologist?
No
Yes
Have you ever used or sold illegal or dangerous drugs?
No
Yes
When was the last time?
Have you ever used alcoholic beverages?
No
Yes
When was the last time?
Have you ever used tobacco in any form?
No
Yes
When was the last time?
Have you ever been expelled, dropped, or suspended by any school or college?
No
Yes
Have you ever been arrested for any reason?
No
Yes
Have you ever been accused or convicted of any improper relation with a minor?
No
Yes
Is there anything else in your background about which we should know?
No
Yes
Please explain?
Comments / Additional Information
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Golden State Baptist College
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