Application

Application
Caribbean College of the Bible International.

Last/Surname:

First Name:

Prefered Name:

Native Language:

Mailing Address:

City:

State/Province:

Country:

Phone:

e-mail Address:

Birth Date:

Married:

Spouse's Name:

Children's Names:
(if you have more children than the space alloted please write there names and ages down.)

Church Name:

Pastor's Name:

Church Address:

City:

State/Province:

Country:

Phone:

e-mail Address:

______________________________________________

Month:__________________Day:_________Year:______

YES / NO (circle one)

______________________________________________

_____________________________________Age______

______________________________________________

Current Employment:______________________________________________

Length of time at current job? Years:_________________Months:___________

What is your highest level of Education? _______________________________

Institutions attended above secondary or American High School - Credit hours - Degree or Diploma: ______________________________________________

______________________________________________

Please give two people (not relatives) as refrences and designate one as mentor.

Persons Name:

Mailing Address:

City:

State/Province:

Country:

Phone:

Mentor:

Persons Name:

Mailing Address:

City:

State/Province:

Country:

Phone:

Mentor:

______________________________________________

YES / NO (circle one)

______________________________________________

YES / NO (circle one)

Please give specific information about your years of full time ministry experience. This information may be used to grant Ministry credits if enrollee desires to pay the per credit fee (see catalog for details).

Ministry: ______________________________________Years:____________

Please indicate which course of study you wish to pursue (check one or more) if accepted for enrollment:

ABBS_____ACT_____Bachelor_____M.Religious Ed._____D.B.S._____

On a separate paper please give in your own handwriting your salvation experience and your reasons for wishing to study at CCBI.

Please sign and date this application and do not forget to include your $40.00 (US non-refundable) application fee (please do not send cash):

Signature:___________________________________Date:_______________

Print this form, fill it out, and send it and your check to:

Caribbean College of the Bible International
#59 Eastern Main Road
Barataria, Port-of-Spain, Trinidad,
West Indies