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Text in red indicates required information. Once registered, students will be contacted by the college/seminary.
Name:
Address:
Address 2:
City: State/Provence:
Zip: Country:
Email Address:
Contact Phone #:
Gender: Male Female
Semester you wish to enroll:
Enrollment Year:
Degree Program:
Do you seek Ordination?: Yes Ordination No Ordination
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?:
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.
Comments:
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