ONLINE APPLICATION

Personal Information
Name*
Prefix First Middle Last
Maiden Name
Preferred Name
Date of Birth*
Social Security Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Marital Status*
Please give an explanation if clicked Separated, Divorced, Remarried, or Single Parent.
Family Information
Father's Name
First Last
Father's Occupation
Father's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Father's Phone
Mother's Name
First Last
Mother's Occupation
Mother's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mother's Phone
Do your parents agree with your attending Florida Baptist College?*
- Yes
- No
If no, please explain.
If you do not live with your parents, please explain why.
ACADEMIC INFORMATION
High School Name*
Type of School*
Date of Graduation*
School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
School Office Phone
Have you taken the ACT?*
- Yes
- No
If yes, what was your score?
Have you taken the SAT?*
- Yes
- No
If yes, what was your score?
Additional Academic Information
Please list all colleges, Bible institutes, or technical schools you have attended.
School Name
Dates Attended
Degree Received
School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
School Name
Dates Attended
Degree Received
School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you have any outstanding debt to any college or university?*
- Yes
- No
Have you ever been denied enrollment, suspended, or dismissed from any school?
- Yes
- No
If yes, please explain.
SPIRITUAL INFORMATION
Have you trusted Jesus Christ as your personal Savior?*
- Yes
- No
When?*
Have you been baptized by immersion?*
- Yes
- No
Church Where Baptized*
Are you a member of a church?*
- Yes
- No
Pastor's Name
First Last
Church Name
Church Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Church Phone
Briefly write your salvation testimony below.*
How did you hear about Florida Baptist College?*
Why do you believe God would have you apply to Florida Baptist College?*
What do you believe God would have you do after your college education at Florida Baptist College?*
FINANCIAL INFORMATION
How do you plan to finance your education?*
STATEMENT OF INTENT
Statement of Intent.*
I agree with the Statement of Intent.
By signing this application for admission, I certify that my answers are true and complete. I understand that any untrue or inaccurate statement made on this application or on any other enrollment document will make me ineligible for admission and subject to immediate dismissal from Florida Baptist College. I further understand that attending Florida Baptist College is a privilege granted to those who maintain a godly Christian testimony, and who comply with the academic standards of Florida Baptist College. I further certify that I am willing, if accepted to Florida Baptist College, to cooperate with the purpose and standards of Florida Baptist College; to abide by all the rules, regulations, and policies of Florida Baptist College; and to comply with its doctrines in order to fully advance the cause of Christ and the testimony of Florida Baptist College.

ONLINE APPLICATION

Personal Information

Family Information

ACADEMIC INFORMATION

Additional Academic Information

SPIRITUAL INFORMATION

FINANCIAL INFORMATION

STATEMENT OF INTENT