Please fill out each blank on this application.
The questions with a red asterisk (*) are fields that are required in order for the
application to be submitted, but all the questions
need to be answered. When finished click
the Submit Application button at the bottom
of the form. Please note that the $20
application fee is required and may be paid
after you have submitted your application via
mail, or it will be applied to your school bill
when you arrive for school.
Don't forget to review the Admissions
Requirements before you fill out this application. Applicants outside Canada and the United States should also check our International Student requirements
If you have any questions, please use our online
chat system and our staff would be happy
to help you.
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| *1. When will you begin
your studies? |
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Location:
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| *GENERAL INFORMATION |
| *1. Legal Name |
First:
Last:
Middle:
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| *2. Name I go by is: |
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| *3. Date of Birth (MM/DD/YYYY) |
*4. Social Insurance Number |
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| *5. Home Address |
| Number and Street |
City |
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| Prov./State |
Postal Code |
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| Country |
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| Telephone No. |
E-Mail |
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| *6. Present Address (if
different from above) |
*Use this address
until:
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| Number and Street |
City |
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| Prov./State |
Postal Code |
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| Telephone No. |
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| *7. Gender |
*8. Race |
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| *9. Country of Citizenship |
Canadian Citizen
Permanent Resident of Canada
Non-Resident of Canada
Do you have a student visa?
Yes, visa exp. date:
No, if no. What visa do you hold? |
Country of Citizenship (if
not Canada)
Country of Birth (if not Canada)
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Primary (native)
Language:
If other please explain:
Secondary (other fluent)
Language:
If other please explain:
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| *10. Marital Status |
Name of fiancé/spouse:
Date of wedding:
If married, names and ages of children:
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| *EDUCATION |
| *1. Education Completed |
College/Bible Institute:
Post Graduate:
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| *2. High School Information |
| High School:
Date Graduate(d):
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| Number and Street |
City |
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| Prov./State |
Postal Code |
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| Course |
Extracurricular activities/awards |
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| *3. Schools Since High
School |
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Give Reason for leaving:
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| *3. Have you ever applied
to any Bible schools and been rejected?
Yes
No |
If so, where?
Why?
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| *4. Have you ever been
dismissed from a school?
Yes
No |
If so, where?
Why?
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| * 5. Have you served
in the armed forces?
Yes
No |
Branch:
Date of Service:
Rank Achieved:
Date and type of discharge:
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| *PERSONAL HISTORY |
| *1. Parent(s) or Guardian
Name |
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| Number and Street |
City |
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| Prov./State |
Postal Code |
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| Telephone No. |
E-Mail |
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| *2. Parents are: |
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Legal Guardian's Name (If
not living with parents)
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Mother's Name:
Legal Guardian's Occupation
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| *3. When was the last
time you: |
used tobacco
alcohol
hallucinogenic drugs/marijuana
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| *4. If accepted, do
you agree to abide by the rules and regulations
of the school both on and off campus while a student?
Yes
No |
| *5. Have you ever been
convicted of a crime?
Yes
No |
If so, explain:
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| *6. Have you ever been
in prison?
Yes
No |
If so, explain:
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| *7. Are you or have
you ever been on probation?
Yes
No |
If so, explain:
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| *CHRISTIAN EXPERIENCE |
| *1. Church Membership |
Denomination |
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| Number and Street |
City |
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| Prov./State |
Postal Code |
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| Date of Membership |
Attend this church regularly? |
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Yes
No |
| If you regularly attend another church,
please give name and address: |
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| *2. Date of Salvation |
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| *3. What do you believe
is necessary for salvation? |
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| *4. Do you have assurance
of your salvation? |
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| *5. On what do you base
your assurance (include Scripture reference)? |
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| *6. Are there any circumstances
that could cause you to lose your salvation? |
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Click here to read the: Word
of Life Standard of Conduct (Use
your web browser back button to return here.)
Click here to read the: Word
of Life Statement of Faith (Use
your web browser back button to return here.)
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| *7. Have you read and
are you in complete accord with the
Statement of Faith of Word of Life? |
Yes
No
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| *8. Have you read and
are you in complete accord with the Standard
of Conduct of Word of Life? |
Yes
No
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| *9. If not, in what
areas do you disagree? |
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| *10. Are there any areas
you feel must be added? |
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| *11. Select the statement
which best represents your attitude toward the
present-day tongues movement: |
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| *HEALTH INFORMATION |
| *1. Do you have any
health condition which requires special attention?
Yes
No |
If so, explain
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| *2. Do you have any
physical handicap which might need special attention
to participate in our program?
Yes
No |
If so, explain
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| *3. Do you have any
learning disabilities?
Yes
No |
If so, explain
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*4. Have you ever received
professional treatment or counseling for a mental
or emotional condition?
Yes
No |
If so, list dates and explain
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| *5. Do you take any
medication on a regular basis?
Yes
No |
If so, what medication:
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| *Autobiography |
Write a brief
autobiography (200-300 words) mentioning your
conversion, some of your Christian experience,
family background , goals for what you are going
to be doing after your time at the Bible Institute,
and anything else that might have a bearing upon
your study at Word of Life Bible Institute.
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| *Who or what was instrumental
in your decision to apply to Word of Life Bible
Insitute? |
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| If You received an application code please enter it here: |
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I have read and am in agreement with the Statement
of Faith in the current catalogue and the Standard
of Conduct above. If accepted, I will abide
by the standard of the school and strive to maintain
a high standard of Christian conduct while enrolled
as a student. |
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I am ready to submit this form. (If left unchecked,
you will be asked to return to this page because
you are missing required information.) |
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