Rccbi Application - Ebs Course

RCC BIBLE INSTITUTE (RCCBI) APPLICATION FOR ADMISSION

RCC Bible Institute

School Year: 2009 Course:

Summer

Instructions 1. Enclose $35 for workbook purchase 2. Answer all questions. If it doesn’t apply write DNA. 3. Print or type.

“Equipping Superiorly Prepared Leaders” Dean of Bible Institute: Rev. Raymond T. Partridge

Name: (Last)

(First)

(Middle)

Address: (Street)

Phone: (Cell) E-Mail Address: Sex: Male

(City)

(State)

Female

Race:

Fax Number: U.S. Citizen:

Date of Birth:

Marital Status: Single In Case of Emergency Contact:

(Zip)

(Work)

Phone: (Home)

Married

Divorced

Yes

No

Widowed Phone:

Employer:

Years:

Address: Name of Church:

Address:

EDUCATIONAL BACKGROUND High School Master’s

GED Doctorate

College Other-specify

Trade School

Bachelor’s

SPIRITUAL INFORMATION Yes

No

Do you believe the Bible is the inspired Word of God, and the infallible guide in matters pertaining to conduct and doctrine? Do you believe in the Holy Godhead, manifested in 3 persons: Father, Son and the Holy Spirit? Do you believe in the deity of the Lord Jesus Christ: that He is God made flesh and the only Mediator between God and Man? If you answered No to any of the above questions, please explain.

PERSONAL STATEMENT Briefly explain why you desire to attend RCCBI and what you want to accomplish by this study.

Reminders: Effective Bible Study is offered during the summer. This is an eight (8) week course. The total cost is $135.00 which include workbook

RICHMOND CHRISTIAN CENTER BIBLE INSTITUTE (RCCBI) REGISTRATION SCHOOL YEAR 2009

Effective Bible Study For Office Use Only: Deposit: Payment in Full

Received by: Payment by Installment

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Money Order

MO or Check #

Payment Date

Payment Amt.

Cash

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Check or MO#

Payment Date

Payment Amt.

Cash

Check

Check or MO#

Payment Date

Payment Amt.

Cash

Check

Check or MO#

Payment Date

Payment Amt.

Cash

Check

Check or MO #