Enrollment Form

We  never give out your information to anyone - it is for our records only.

Text in red indicates required information.

Personal Information

Name:

Address:

Address 2:

City:  State/Provence: 

Zip: Country:

Email Address:

Contact Phone #:

Gender: Male Female

Marital Status: Date of Birth

Social Security No.   If a U.S. Resident.

Citizenship 

Program Information

Semester you wish to enroll: 

Enrollment Year:

Degree Program:

Diploma:

Do you seek Ordination?: Yes Ordination No Ordination0

Education

Did you receive a High School Diploma/GED?: yes No

Year received High School Diploma/GED:

City, state/province or location it was awarded:

Most recent school attended:

City, state or location of school:

Did you graduate?: Yes No Year graduated:

Diploma/Certificate?:

School attended:

City, state or location of school:

Did you graduate?: Yes No Year graduated:

Diploma/Certificate?:

MUST HAVE CHECKED  I hereby certify the information given is correct. I release my grades and pertinent information to Arizona Bible College and Seminary for their review for admission and to keep copies of submitted information on file. I authorize Arizona Bible College and Seminary to verify all records in relation to this application. I also understand that this application is not a guarantee for enrollment into Arizona Bible College and Seminary.

Please mail copies of proof of identification (drivers license and social security card), proof of income (tax, social security award, etc.), High School, Ged diploma, and/or college transcripts to:

Arizona Bible College and Seminary

10645 N. Oracle Rd.   Ste. 121-244   Oro Valley, Arizona  85737

520.303.7261

This application is not an acceptance for a tuition loan but an application to be reviewed for acceptance. Students will be contacted directly by Admissions to complete the process.

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