Application for Admission

Semester Applying For: *

Fall 2021
Spring 2022
Summer 2022
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Last Name *

First Name *

Middle Name *

Upload your picture *

Email *

Cell Phone *

Street Address

City

State

Country

Country

Zip Code *

Country of Citizenship *

Date Of Birth *

Age *

Marital Status *

Married

Single

Gender *

Male
Female
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Are you a veteran dependent eligible for VA benefits??

Yes

No

Are you a veteran?

No

Yes

Major *

Bible Certificate
Ministry Secretarial
Pastoral
Missions (Men)
Missions (Women)
Elementary Education
Secondary Education
Church Musician
Music Minister
Music Education
Music Ministries
Youth Ministries (Men)
Youth Ministries (Women)
Church Ministries (Men)
Church Ministries (Women)
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Home Church Information

Name of independent Baptist church you attend: *

Church's city and state *

Name of Pastor *

First
Last

Pastor's Email *

Parent/Guardian Contact Information

Father/Guardian Name *

Father/Guardian Email *

Father/Guardian Phone *

Mother/Guardian Name *

Mother/Guardian Email *

Mother/Guardian Phone *

Signature

Signature of Applicant *

4700 NW 10th St, Oklahoma City, OK 73127 | (405) 943-9330

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