| Eugene Bible College |
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APPLICANT TYPE |
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ENTRY YEAR |
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ENTRY TERM |
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ME |
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(SECTION
1 OF 5) |
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FIRST NAME |
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MIDDLE NAME |
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LAST NAME |
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PREFERRED NAME |
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BIRTH DATE |
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PERMANENT ADDRESS |
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CITY |
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STATE |
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ZIP |
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COUNTRY |
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HOME PHONE |
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CELL PHONE |
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EMAIL |
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GENDER |
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MARITAL STATUS |
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CITIZENSHIP STATUS |
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DESCRIBE YOUR HEALTH |
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HAVE
YOU EVER BEEN CONVICTED OF ANY CRIMINAL OFFENSE,
OTHER THAN A MINOR TRAFFIC VIOLATION?
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IF YES,
PLEASE EXPLAIN AND PROVIDE DATES.
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HAVE
YOU EVER BEEN DENIED ADMISSION OR DISMISSED FROM
ANY COLLEGE FOR ACADEMIC OR DISCIPLINARY REASONS?
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IF YES,
PLEASE EXPLAIN AND PROVIDE DATES.
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HAVE
YOU USED ALCOHOL, TOBACCO, OR NARCOTICS
WITHIN THE PAST YEAR?
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IF YES,
PLEASE EXPLAIN AND PROVIDE DATES.
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| MY
FAMILY |
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(SECTION
2 OF 5) |
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SPOUSE'S FULL NAME AND AGE (IF APPLICABLE) |
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NAMES OF CHILDREN AND AGES (IF APPLICABLE) |
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FIRST NAME |
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LAST NAME |
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PHONE |
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OCCUPATION |
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COLLEGE |
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PERMANENT ADDRESS |
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CITY |
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STATE |
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ZIP |
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COUNTRY |
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FIRST NAME |
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LAST NAME |
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PHONE |
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OCCUPATION |
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COLLEGE |
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PERMANENT ADDRESS |
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CITY |
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STATE |
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ZIP |
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COUNTRY |
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ARE YOUR PARENTS IN
SUPPORT OF YOUR ATTENDANCE AT EUGENE BIBLE COLLEGE?
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| MY
FAITH |
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(SECTION
3 OF 5) |
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CHURCH YOU ATTEND |
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DENOMINATION |
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CHURCH CITY/STATE |
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YEARS ATTENDED |
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SENIOR PASTOR |
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YOUTH PASTOR |
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WHEN AND HOW DID
YOU RECEIVE CHRIST AS YOUR PERSONAL LORD AND SAVIOR?
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| MY
LIFE |
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(SECTION
4 OF 5) |
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HIGH SCHOOL NAME |
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H.S CITY/STATE |
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H.S. GRADUATION YEAR |
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APPROXIMATE GPA |
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HAVE YOU BEEN HOME SCHOOLED? |
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DID YOU RECEIVE A GED? |
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| INSTITUTION NAME |
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DEGREE COMPLETED |
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CITY/STATE/COUNTRY |
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DATES ATTENDED |
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TO WHAT
OTHER COLLEGES OR UNIVERSITIES ARE YOU SEEKING ADMISSION?
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HOW DID YOU FIRST HEAR ABOUT EUGENE
BIBLE COLLEGE? |
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IF OTHER, ENTER HERE |
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| DESIRE
TO GO INTO MINISTRY |
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LOCATION |
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PROGRAM
OFFERINGS |
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SPIRITUAL
BELIEFS |
| COLLEGE
OFFERINGS |
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TUITION
COST |
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BIBLE
CERTIFICATE |
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OTHER |
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I PLAN
TO LIVE IN COLLEGE HOUSING
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IF
NO, PLEASE EXPLAIN
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| (PLEASE NOTE: ALL
SINGLE STUDENTS ENROLLED FOR MORE THAN 6 CREDIT HOURS WHO ARE UNDER
AGE 21 ARE REQUIRED TO LIVE IN COLLEGE DORMITORIES UNLESS LIVING
WITH PARENTS OR IMMEDIATE RELATIVES. STUDENTS UNDER AGE 21 MAY APPLY
TO LIVE OFF CAMPUS BY FILING A PETITION WITH THE STUDENT DEVELOPMENT
OFFICE.) |
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WHICH
PROGRAM DO YOU PLAN TO COMPLETE AT EUGENE BIBLE COLLEGE?
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| THE
END |
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(SECTION
5 OF 5) |
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- DON'T FORGET TO GO BACK OVER THE APPLICATION INSTRUCTIONS
TO MAKE SURE YOU HAVEN'T MISSED A STEP.
- READ THE CODE OF CONDUCT INCLUDED IN THE APPLICATION BEFORE
YOU AGREE TO THE TERMS BELOW.
- FINALLY, SEND IT IN AND JUST RELAX!
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BY SUBMITTING THIS APPLICATION, I CERTIFY UPON MY HONOR THAT
THE ANSWERS AND INFORMATION SUBMITTED IN THIS APPLICATION ARE
TRUE AND TO THE BEST OF MY KNOWLEDGE. IF ADMITTED TO EUGENE BIBLE
COLLEGE, I WILL PRAYERFULLY UNDERTAKE A COURSE OF STUDY IN THE
COLLEGE AND DEVOTE MY BEST EFFORTS TO IT. I WILL CHEERFULLY ABIDE
BY THE SPIRIT AS WELL AS THE CODE OF CONDUCT OF THE COLLEGE AND
WILL WORK AT ALL TIMES IN HARMONY WITH THE ADMINISTRATION, FACULTY,
AND STUDENTS. I HEREBY PLEDGE MY ALLEGIANCE TO THE WORD OF GOD
AND CAUSE OF JESUS CHRIST, PROMISING TO BE FAITHFUL TO ALL TASKS
SET BEFORE ME.
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