BROOKES BIBLE COLLEGE
10257 St. Charles Rock Road │ St. Ann, MO │ 63074 │ 314-773-0083
APPLICATION FOR ADMISSION
Personal Information
Legal Name:
□ Mr. □ Dr. □ Rev. _________________________________________________________
□ Mrs. □ Miss □ Ms.
(Last)
(First)
(MI)
□ Male
□ Female
Nickname: ________________________ Birth Date: _____________________ Social Security: _______ /____ /________
(Month/Day/Year)
Mailing Address: ____________________________________________________________________________________
(Street)
(City)
(State)
(Zip)
Primary Phone: (_____)_______________ Alternate Phone: (_____)_______________ Preferred (circle one): Cell/Home
Email: _________________________________________
Marital Status: □ Single
□ Engaged
□ Married
Do you receive your email on your phone?
□ Separated
□ Divorced
□ Remarried
If engaged or married, does your fiancé/spouse believe in Jesus Christ as personal Savior and Lord?
□ Yes
□ No
□ Widowed
□ Yes
□ No
If no, please explain: ________________________________________________________________________________
Brookes Bible College holds that the only biblical marriage relationship is that between one man and one woman, and
that those called into ministry have the responsibility to live as good examples in this area. Are there any relationship
situations, past or present, that would hinder your ability to minster in this way?
□ Yes □ No
If yes, please explain: ________________________________________________________________________________
__________________________________________________________________________________________________
Are those in your household in favor of you attending BBC?
□ Yes
□ No
IF no, please explain: _________________________________________________________________________________
U.S. Citizen:
□ Yes
□ No
If no: are you a permanent resident?
□ Yes
□ No
If you are a non-resident and are living in the U.S., what Visa do you hold? (must attach a copy of current I-20 or other)
Language:
□ F-1 Visa
□ Other
□ Expiration Date: _________________________
□ English
□ Spanish
□ Other: ___________________________________________________
Ethnicity: (check all that apply)
□ Hispanic
□ Non-Hispanic
□ Prefer not to answer
□ White
□ Asian
□ Black/African American
□ American Indian/Alaskan Native
□ Native Hawaiian/Pacific Islander
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Church Information
Church you attend: _________________________________________________ Are you a member?
□ Yes □ No
Pastor’s Name: ____________________________________________ Denomination: ____________________________
Church Address: ____________________________________________________________________________________
(Street)
(City)
(State)
(Zip)
Church Phone: (_____) __________________________ Church Email/Website: _________________________________
References:
Name of individual completing pastoral reference: ________________________________________________________
Phone: (_____) _______________________ Email: ________________________________________________________
Name of individual completing educator/employer reference: _______________________________________________
Phone: (_____) _______________________ Email: ________________________________________________________
Enrollment:
For which semester are you applying to begin? Fall
Spring
Summer
Year____________
For which degree program are you applying?
□ Biblical & Ministerial Studies
Are you planning to be:
□ Biblical Counseling & Practical Theology
□ Undeclared
□ Full Time student (≥12 credit hours)
□ Part Time student
How do you plan to pay for your education? ______________________________________________________________
Education:
Are you a high school graduate?
□ Yes
□ No
If no, are you currently attending high school/GED courses?
If yes, □ Traditional
□Yes
□ No
□ Homeschool □ GED
Expected graduation: ______ / ______
List all high schools attended: (use continuation page if necessary)
High School Name: __________________________________________________________________________________
City: ______________________________ State: ______________ Dates Attended: ______________________________
Have you taken the ACT?
□ Yes
□ No Year? _____________
SAT?
□ Yes
□ No
Year? ______________
List any university, college, Bible college, or technical schools attended: (use continuation page if necessary)
School Name: __________________________________________ Degree or credits earned: _______________________
City: _________________________________ State: ___________ Dates Attended: ______________________________
School Name: __________________________________________ Degree or credits earned: _______________________
City: _________________________________ State: ___________ Dates Attended: ______________________________
Do you expect to transfer credits from another college?
□ Yes
□ No
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Employment:
Are you currently employed?
□ Yes
□ No
Occupation: ________________________________________________
Name of employer: ___________________________________________ Supervisor: _____________________________
Address: ___________________________________________________________________________________________
Street
City
State
Zip
Phone: (_____) _____________________________ Website/Email: ___________________________________________
Gross Annual Household Income:
□ $1 – $10,000
Work: □ Full-Time (30-40 hours/week)
□ $10,001 – $30,000
□ $30,001 - $60,000
□ $60,001 +
□ Part-Time (1-29 hours/week)
Background: (Confidential)
If you answer “YES” to any of the following questions, please explain on the continuation page.
Have you ever been denied admission to an educational institution?
□ Yes
□ No
Has an educational institution ever placed you on probation, suspension, dismissal?
□ Yes
□ No
Are you now, or have you ever been involved in any substance abuse (drugs, alcohol, tobacco)?
□ Yes
□ No
Do you have any record of arrest or conviction (excluding traffic violations)?
□ Yes
□ No
Influence:
How did you hear about Brookes Bible College? (check all that apply)
□ Website
□ Church leader
□ College Fair
□ BBC Student/Alumni
□ Radio Ad
□ BBC Faculty Member
□ Sign out front
□ Other: __________________
What factors influenced you to apply to Brookes Bible College? (check all that apply)
□ BBC student: ________________
□ Alumni: _________________ □ Church leader: ________________________
□ Parent
□ Price
□ Degrees available
□ Location
□ Doctrine
□ Advertisement
If you checked more than one, what was the most important factor? __________________________________________
Continuation of Information:
Please use this section to give explanations and additional information as previously requested:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
(Add additional pages if necessary and attach to your application)
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Emergency Contact Information:
Name: ____________________________________ Phone: (_____) ______________ Relationship:__________________
Address: ___________________________________________________________________________________________
Statement of Faith:
I believe in Jesus Christ as my personal Savior and Lord
□ Yes
□ No
I have read and understand the student conduct policies
□ Yes
□ No
I have read and understand the BBC Statement of Faith
□ Yes
□ No
I agree with the BBC Statement of Faith
□ Yes
□ No
If no, please answer the following questions:
What do you disagree with? ___________________________________________________________________________
__________________________________________________________________________________________________
Are you open to instruction in areas of current disagreement with the BBC Statement of faith?
□ Yes
□ No
While enrolled, are you willing to refrain from promoting views contrary to the BBC Statement of faith? □ Yes
□ No
In signing this application, I certify that all the information on this application is true and complete. I understand that
falsifying information on any part of this application may result in me being rejected or dismissed from the institution.
Finally, I promise, if accepted as a student, I will honorably adhere to the standards of the college.
Applicant Signature: _________________________________________________ Date: ___________________________
Personal Statements:
Please note that your responses will be considered as your writing sample for academic placement. Emphasizing quality
and care in your written statements is to your advantage. Your answers must be TYPED on a SEPARATE PIECE OF PAPER
using a MINIMUM OF 150 WORDS.
1. What is the scriptural basis for your salvation and hope for eternal life? Describe the circumstances that led you to
saving faith in Christ. Describe your spiritual walk with Christ since that time.
2. Describe your past and present service to the Lord and any future plans for service or vocation (local church, other
ministry, etc.)
3. What is your personal position on, and involvement with, the miraculous sign gifts (gifts of tongues, prophecy,
healing, performing miracles)?
4. What is your personal position concerning homosexuality and gender identity?
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