BEREAN SCHOOL OF THE BIBLE
APPLICATION
(Non-Degree
Students)
(2014
Non-Degree
Studies)
Instructions: Please print or type ALL information on this form. You may refrain from answering any questions which you feel would
betray your confidentiality, but the more we know about you the better we can serve you.
Status:  New Applicant
 Former
Student Number (if former student):
Last/Family Name: _______________________________________
Home Address: ___________________________________
First/Given Name:________________________________________
________________________________________________
Middle Name: ___________________________________________
________________________________________________
Maiden Name:___________________________________________
Country: _________________________________________
Primary Phone: __________________________________________
E-mail: _________________________________________
Other Phone: ____________________________________________
Country of Citizenship: _____________________________
Title:
 Mr.
 Ms.
Gender:
 Male
 Female
 Mrs.
 Rev.
 Dr.
Primary Language Spoken: __________________________
Primary Religious Affiliation:  PAOC
 Other Pentecostal
Date of Birth: ______ / ______ / ______
DD
Month
Year
(Example: 05 / JAN / 87)
 Protestant
 Catholic
 Other (Specify) ____________________________________
PROGRAM OF STUDY (Select only one):
PREFERRED FORMAT:
 Ministerial Studies
 Bible and Doctrine
 Printed Copy
 Online
 Undeclared

I understand that Ministerial credentials are not issued by Global University or Aboriginal Bible Academy.

I understand that Berean School of the Bible (BSB) offers non-degree courses, which are calculated in Continuing Education
Units, not college credits and that it is my responsibility to verify the applicability of BSB courses toward my educational goals.

I understand that my completion of this study program does not guarantee my acceptance for any position by any church or
organization.

I agree to adhere to the standards and policies published in the BSB catalog.
Appropriate application fee is included (refer to fee arrangement).
Date: _____/ _____ / _____
DD
Month
The application fee is non-refundable five business days
after this form is received by Global University.
Applicant’s Signature: ______________________________________________________
Year
Print Full Name: ________________________________________________________________
FOR REGIONAL/NATIONAL OFFICE USE ONLY
Date: _____ / _____ / _____
DD Month YY
BSB IntlApplication - EN 20140131
I recommend this student for the institute-level program he or she has indicated.
National Office Code: _____________________
Director’s Signature: _________________________________________
FOR INTERNATIONAL OFFICE USE ONLY
Date: _____ / _____ / _____
DD Month YY
I recommend this student for the institute-level program he or she has indicated.
Global University Registrar’s Signature: _________________________________________
1211 South Glenstone Avenue | Springfield, MO 65804 USA | 417.862.9533 | 800.443.1083 | USA Fax: 417.862.0863
www.globaluniversity.edu | E-mail: [email protected]