Applicant's Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Age
*
Marital Status
*
Social Security Number
*
Are you a U.S. citizen?
*
If NO, what is your country of citizenship?
*
Spouse's Name
First Name
Last Name
Is your spouse a U.S. citizen?
*
If NO, what is your spouse's country of citizenship?
Names and Ages of Children
Current Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Students from outside the U.S. must raise 100% of their support to attend.
*
Bear Valley does not have the financial resources to assist foreign students in attending school in the U.S. All foreign students will be required to raise 100% of their own support.
Mobile Phone
*
(###)
###
####
Home Phone
(###)
###
####
Email Address
*
If SINGLE, have you ever been married before?
If MARRIED, have you or your spouse ever been previously married?
If you answered YES to either of the last two questions, please give a detailed explanation here:
Have you ever served in the military?
*
If YES, did you receive an Honorable Discharge?
Have you ever been treated for any physical or emotional problems?
*
If YES, what kind and when?
Have you ever been diagnosed with a learning disability or challenge?
*
If YES, when and what type?
Present Occupation
*
Present Salary
*
Present Debt
*
Estimated amount of debt upon entering school
*
Educational Background
*
Please indicate the highest level of schooling completed to date.
Any previous college degrees?
Other professional or trade qualifications:
When were you baptized? Where? and By whom?
*
When was your spouse baptized? Where? By whom?
Name of the congregation where you are presently a member
*
Congregation's Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Preacher's Name
*
First Name
Last Name
Church Phone
*
(###)
###
####
Additional congregational involvement
*
Other than regular attendance at services and Bible classes, list any additional responsibilities, activities, or areas of work you are regularly involved with in the congregation where you currently attend.
Reference #1 - Name
*
First Name
Last Name
Position with the church
*
Reference #1 - Mailing Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference #1 - Email
*
Reference #1 - Phone
*
(###)
###
####
Reference #2 - Name
*
First Name
Last Name
Position with the church
*
Reference #2 - Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference #2 - Email
*
Reference #2 - Phone
*
(###)
###
####
Reference #3 - Name
*
First Name
Last Name
Position with the church
*
Reference #3 - Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference #3 - Email
*
Reference #3 - Phone
*
(###)
###
####
If approved, when are you planning to start school?
*
August 2023
January 2024
August 2024
January 2025
August 2025
January 2026
August 2026
January 2027
August 2027
January 2028
August 2028
Briefly state why you want to preach the Gospel or why you want to attend Bear Valley?
*
List all possible sources of support (local congregation, area churches, family, VA, etc...)
*
Tobacco, drugs and alcohol
*
Conduct Agreement
*
Code of Conduct: If I am accepted by the Bear Valley Bible Institute of Denver, I will do my best to maintain the highest moral, spiritual, and academic standards possible. I will abide by the policies of the school in a serious and prayerful manner.
