New Creations Bible College

6412 National Rd. East ~ Richmond, IN 47374 ~ Phone: 765-935-2790 ~ Fax: 765-935-3961

Email:  info@newcreationschapel.org              Web:  www.newcreationschapel.org

Please Print Out & Return by Fax or by Mail

 


APPLICATION FOR ADMISSION

 

This application, official transcripts and physical condition report are to be completed and forwarded to the registrar.

 

 

 

Insert Photo Here

 

 

 

 

Name:  _________________________________________________________________

 

Address:  _______________________________________________________________

 

City:  ____________________________  State:  _________  Zip:  __________________

 

Phone:  __________________________  Date of Birth:  __________________________

 

Place of Birth:  ___________________________  Country of Citizenship:  ___________

 

Emergency Contact: ______________________________________________________

Address:  _____________________________________ Phone:  ___________________

 

Name of Spouse:  ________________________ Number of Children:  ______________

 

When do you wish to enter the college program?  _________ Fall    ________ Spring

 

Education Background

 

High School: 

 

Name: __________________________________________________________________

Address:  ___________________  City:  ____________  State:  _______  Zip:  ________

Dates Attended:  _______________________  Did you graduate?  __________________

 

College:

Name: __________________________________________________________________

Address:  ___________________  City:  ____________  State:  _______  Zip:  ________

Dates Attended:  _______________________  Did you graduate?  __________________

 

Other:

Name: __________________________________________________________________

Address:  ___________________  City:  ____________  State:  _______  Zip:  ________

Dates Attended:  _______________________  Did you graduate?  __________________

Were you ever placed on probation or suspended for any reason?  ___________________

If yes, please explain on a separate piece of paper

Have you ever been arrested for any reason other than a minor traffic violation?  _______

If yes, please explain on a separate piece of paper

 

How do you plan to provide for your expenses while at New Creations?  _____________

________________________________________________________________________

 

Is anyone dependent on you for financial support? ________  If yes, who and why?  ____

________________________________________________________________________

 

Do you have any debts?  __________  If yes, to what extent are you able to pay them? __

________________________________________________________________________

 

Are you obligated to pay them off while at New Creations?  __________  If yes, can you pay them?  ______________________________________________________________

 

Do you need assistance in secured housing?  ___________________________________

 

Personal References (not relatives):

 

Name:  _______________________________  Address:  _________________________

City:  ___________________________  State:  __________  Zip:  __________________

Phone:  _________________________________

 

Name:  _______________________________  Address:  _________________________

City:  ___________________________  State:  __________  Zip:  __________________

Phone:  _________________________________

 

Minister’s Reference:

 

Name:  ______________________________  Church:  ___________________________

Address:  _____________________________  City:  _______________  State:  _______

Zip:  _________________  Phone:  ___________________________

 

Please attach a brief written testimony covering your conversion to knowing Jesus Christ as your personal Savior, of having received the baptism of the Holy Spirit (if you have had this experience), an account of your call to full-time Christian service and why you have chosen New Creations Bible College for your preparatory education.  Please be concise and factual as this is a very important part of your application and consideration for admission.  Please limit your testimony to approximately 500 words.

 

While a student at New Creations Bible College I will abide by all the rules of the school, otherwise I will accept disciplinary action taken which may include my dismissal.

 

____________________________________                        ________________________

Signature                                                                                  Date