GOLDEN GRAIN BIBLE COLLEGE AND SEMINARY - OXNARD CAMPUS GOLDEN GRAIN SCHOOL OF MINISTRY Mailing Address: 301 Bernoulli Circle, Oxnard, CA 93030 (805) 390-7283 Email:
[email protected] Website: www.PacificCoastMinistries.com APPLICATION FOR ADMISSION New Student Application Fee $35.00
[ [ [ [ [
] ] ] ] ]
Freshman Transfer Reapplicant Correspondence Foreign
[ [ [ [
] ] ] ]
Associates of Theology Bachelor of Theology Master of Theology Doctor of Theology
Recent Photo Golden Grain Bible College & Seminary does not discriminate in its admission policies on the basis of race, color or national origin.
I. PERSONAL DATA Full Legal Name
[ ] Miss
[ ] Mrs.
[ ] Mr.
[ ] Rev.
[ ] Dr.
_________________________________________________________________________________ Last First Middle Maiden Name Address _________________________________________________________________________ City __________________________________ State _____________ Zip Code _______________ Country _______________________________ Telephone (____) ___________________________ Email: ____________________________ Birthdate _____/____/____
Social Security Number ________-_____-__________
Age ______
Birthplace _________________________ State/Country
Country of Citizenship ___________________________ Non-USA:
Marital Status [ ] Single [ ] Engaged [ ] Widowed [ ] Remarried
[ ] Married
Visa Type _____________ Expiration _____________
[ ] Separated
[ ] Divorced
Spouse’s Name ____________________________________ Number of Children ______________ 1
GOLDEN GRAIN BIBLE COLLEGE & SEMINARY
APPLICATION FOR ADMISSION
If married or engaged: After you have prayed with and talked at length with your spouse/fiancée concerning coming to GGBC&S, please have your spouse/fiancée complete this statement. [ ] I do
[ ] I do not
believe my spouse/fiancée should attend GGBC&S
because _________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Date ___________________
______________________________________ Signature of spouse/fiancée
GENERAL HEALTH [ ] Excellent [ ] Fair [ ] Poor If you have any physical disability, indicate the nature of the disability and any special assistance you require. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
IF SINGLE OR UNDER AGE 21: Father’s name (or Guardian) __________________________________________________ Address __________________________________________________________________ City __________________________________ State ___________
Zip____________
Mother’s name _____________________________________________________________ Address __________________________________________________________________ City __________________________________ State ___________ Are your parents Christian?
Father [ ] Yes
[ ] No
Are your parents in accord with your plans to enroll at GGBC&S?
Zip____________
Mother [ ] Yes [ ] No [ ] Yes
[ ] No
ARMED FORCES: Have you served in the armed forces of any nation? [ ] Yes [ ] No Country for which you served _________________________________ Do you intend to use Veteran’s Educational Benefits while attending GGBC&S? [ ]Yes [ ]No
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GOLDEN GRAIN BIBLE COLLEGE & SEMINARY
II.
APPLICATION FOR ADMISSION
SPIRITUAL INFORMATION
When were you converted?_____________________ Where? __________________ How long have you walked consistently with the Lord? _________ mos. / yrs. When were you baptized in water? _____________________________________________ What church do you attend? ___________________________________________________ Denomination ______________________________________________________________ Church Address _____________________________________________________________ City _________________________ State ________ Zip _________ Country ___________ How long have you regularly attended this church? ___________________ mos. / yrs. Give the full name of your pastor or another minister on the staff of your church who knows you well and to whom you can give a Reference Form. Name __________________________________ Position in church ___________________ Address __________________________________________________________________ City _________________________ State ________ Zip _________ Country ___________ How long have you known this person? __________________ mos. / yrs.
III.
CHRISTIAN SERVICE
What kinds of Christian ministry have you been involved in during the past 5 years? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Toward what kind of Christian ministry do you feel directed after completing your studies at GGBC&S? _________________________________________________________________
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GOLDEN GRAIN BIBLE COLLEGE & SEMINARY
IV.
APPLICATION FOR ADMISSION
EDUCATION INFORMATION
Name and Location of High School: _____________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Year Graduated and Diploma Received: ___________ Please Listed All Colleges Attended and/or Graduated From and Degree(s) received: Name and Location of College: _________________________________________________ Year(s) Attended ____________________ Year of Graduation______________ Degree Received___________________________________
Name and Location of College: _________________________________________________ Year(s) Attended ____________________ Year of Graduation______________ Degree Received___________________________________
Name and Location of College: _________________________________________________ Year(s) Attended ____________________ Year of Graduation______________ Degree Received___________________________________
Name and Location of College: _________________________________________________ Year(s) Attended ____________________ Year of Graduation______________ Degree Received___________________________________
Please provide official transcripts from all colleges.
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GOLDEN GRAIN BIBLE COLLEGE & SEMINARY
V.
APPLICATION FOR ADMISSION
EMPLOYMENT AND REFERENCES
Name of most recent employer _________________________________________________ Address ___________________________________________________________________ City ___________________________________ State ____________ Zip _______________ Telephone (____)______________
Type of work _______________________________
Give three personal references: Name _____________________________________________________________________ Address ___________________________________________________________________ City ___________________________________ State ____________ Zip _______________ Telephone (____)______________ Name _____________________________________________________________________ Address ___________________________________________________________________ City ___________________________________ State ____________ Zip _______________ Telephone (____)______________ Name _____________________________________________________________________ Address ___________________________________________________________________ City ___________________________________ State ____________ Zip _______________ Telephone (____)______________ By signing and submitting this application I hereby declare that the information contained within this application is true and correct to the best of my knowledge. I understand that if I am accepted, Golden Grain Bible College & Seminary expects me to abide by the school’s standards and Biblical principles and apply them as a way of life. Date: __________________ Signature:______________________________________
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GOLDEN GRAIN BIBLE COLLEGE & SEMINARY
APPLICATION FOR ADMISSION
GOLDEN GRAIN BIBLE COLLEGE & SEMINARY-OXNARD CAMPUS 301 BERNOULLI CIRCLE OXNARD, CA 93030 RECOMMENDATION BY PASTOR / MINISTER I hereby recommend____________________________________ for admission to Golden Grain Bible College & Seminary – Oxnard Campus. 1. Statement of my personal knowledge of applicant’s spiritual life:
2.
How long have you known the applicant?
3.
Please describe the applicant’s following qualities:
Character Commitment Honesty Reliability Personable 4.
Excellent [ Excellent [ Excellent [ Excellent [ Excellent [
] ] ] ] ]
Good [ Good [ Good [ Good [ Good [
] ] ] ] ]
Growing [ Growing [ Growing [ Growing [ Growing [
________Years
] ] ] ] ]
Fair [ Fair [ Fair [ Fair [ Fair [
] ] ] ] ]
________Months
Needs Improvement [ Needs Improvement [ Needs Improvement [ Needs Improvement [ Needs Improvement [
] ] ] ] ]
Does this applicant have a proven ministry
__________________________________________ Signature Please print name: __________________________
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________________________ Date
