Apply - Bill Rice Bible College

Applicant's Information

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Name *

First

Middle

Last

Picture

Click or drag a file to this area to upload.

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Gender *

Social Security Number *

Email *

Phone *

Date of Birth *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Are you currently a member of a church? *

Yes
No

Please give a brief testimony of your salvation: *

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Have you ever been a camper at the Bill Rice Ranch? *

Yes
No

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How did you hear about Bill Rice Bible College? *

I am: *

Parents' Information

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Name(s) of parent(s) with whom you live: *

First

Last

Cell Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Do your parents support your decision to attend the Bill Rice Bible College? *

Yes
No

Education

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Name of High School *

Type of High School *

Public
Private
Christian
Home School

Expected Graduation Date *

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Have you attended any schools since you graduated high school? *

Yes
No

Have you applied to any other Bible colleges and been rejected? *

Yes
No

Confidential Information

The following information will be shared with the Admissions Committee only.

Have you ever been expelled, dismissed, or suspended from a school or college for any academic or disciplinary reasons? *

Yes
No

Please explain:

Have you ever been convicted of a felony or misdemeanor? *

Yes
No

Please explain:

Have you ever been convicted of any offense involving a minor? *

Yes
No

Please explain:

Are you prohibited, by penalty, from interaction with children for any reason? *

Yes
No

Please explain:

Do any circumstances prevent you from working in the United States legally? *

Yes
No

Please explain:

References

Please list the names and phone numbers of your two references. One must be your pastor; the other should be a school teacher or a member from your church or workplace who knows you well. (Please, no relatives.) Information received from these references is confidential and cannot be discussed with the applicant.

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Name *

First

Last

Phone *

Email *

Name *

First

Last

Phone *

Email *

Experience & Interest

Please mark areas with which you have experience. *

Other

Do you have a valid driver's license? *

Yes
No

Medical Disclosure

Are you covered by insurance? *

Yes
No

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Height *

Weight *

Date of last Tetanus shot: *

Do you have any allergies? *

Yes
No

Please list:

Are you taking any medications? *

Yes
No

Please list:

Have you had any hospitalizations? *

Yes
No

Please list diagnoses and dates:

Have you had any surgeries? *

Yes
No

Please list types and dates:

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Do you have any handicaps/physical disabilities? *

Yes
No

Are you deaf? *

Yes
No

If a doctor has put any limitations on physical activity, please explain:

Do you have any learning disabilities? *

Yes
No

Please explain:

Please select all that apply to you:

Please explain any checked boxes:

Statement of Faith

Checkboxes *

I have read and agree with the Statement of Faith.

Standards of Conduct

Standards of Conduct *

I have fully read and understand the Standards of Conduct. I understand and agree that, as a student at Bill Rice Bible College, any failure to abide by these Standards of Conduct can lead to discipline and/or dismissal from Bill Rice Bible College at the Administration’s discretion.

Agreement

By signing below, I attest to the truthfulness of all the information given in the Application for Admission. I have read this application carefully. I understand that giving any false, misleading, or incomplete information can result in a cancellation of the application, or dismissal from Bill Rice Bible College if information is discovered to be incorrect after I have been accepted. I recognize that I will be billed for the application fee ($50.00) unless I have received a waiver or discount from Bill Rice Bible College, and that any application or reservation fees paid to Bill Rice Bible College are non-refundable.

Do you understand and agree to the terms listed above? *

Yes, I understand and agree to the terms listed above.

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