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Capernwray Quebec Application Form
Online Application Form
I am applying for:
How were you influenced to apply to Capernwray Quebec *
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Personal Information
First Name *
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Last Name *
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Nationality *
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Birthdate *
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Gender *
Phone Number *
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Email Address *
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Address
Street (Number/Name) *
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City *
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Province/State *
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Postal/Zip Code *
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Country *
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Additional Information
Emergency Contact *
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Emergency Contact Phone Number *
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Emergency Contact Relationship *
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Your Profession or training *
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If student please indicate course/subjects *
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Have you applied to another Bible School/Programme during this time *
If yes, please specify
Your answer
How were you influenced to apply for Capernwray Quebec *
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Relationships
Which of the following applies to you? *
If married, name of spouse
Your answer
Is your spouse also applying for Bible School
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Is your spouse in full agreement with your decision to attend Capernwray Quebec?
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If you have children, please list their names and birthdates
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Is a friend or relative applying? Please give his/her name:
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What is his/her relationship to you:
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Health
Do you suffer from any disability, which would limit you doing practical duties? *
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Have you had a nervous breakdown or mental illness at any time? *
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Have you suffered from, and had treatment for an eating disorder? *
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Do you have diabetes, epilepsy, blackouts or other medical problems? *
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Do you require a special diet for medical reasons? *
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Please list any food allergies
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Do you regularly require any prescribed medicine? *
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Please list:
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Do you have any food restrictions for non-medical reasons? Please Describe. *
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Please list any medications that you are allergic to:
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Have you had surgery within the past six months, or extended medical care? *
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Have you regularly used tobacco, alcohol or illicit drugs in the last year? *
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Please provide details if you answered yes to the above questions
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Family Doctor *
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Street Address *
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City, Province *
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Phone Number *
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Private or Provincial Medical Plan Name and Number: *
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NOTE: ALL STUDENTS ARE EXPECTED TO PROVIDE THEIR OWN MEDICAL COVERAGE.
For information on an economical medical plan with good coverage for non-Canadians, please contact the school office.
Talents, Hobbies, And Work Experience
What grade did you finish in high school *
Your answer
What further education have you received? *
Your answer
Have you had any full-time work experience, and if so, in what field? *
Your answer
Do you have any special abilities or experience that could be useful for the practical running of the school, such as, carpentry, life guarding, gardening, etc.? *
Your answer
What are your hobbies? *
Your answer
Do you play any musical instruments? (If yes, please list) *
Your answer
Have you had any experience in outreaches involving singing groups or drama teams? Please give details. *
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Church Affiliation
What local church do you attend? *
Your answer
Pastor's name (where none, name of elder) *
Your answer
Phone (Church #) *
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Church Address *
Your answer
Have you had any responsibilities at church/camp? If yes, please give brief description. *
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References
Please give the name, address, phone number and email of each person who will be completing your reference forms. These individuals will be contacted by email with reference forms from Capernwray Quebec Bible Centre.
Pastor/Church Official Address and Phone # *
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Pastor/Church Official Email Address *
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Mentor/Associate Address and Phone # *
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Mentor/Associate Email Address *
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Have you been convicted of a crime requiring jail term? If so, please specify *
Your answer
If there is any additional information that we should be aware of regarding your personal background, we ask that you include this below. *
Your answer
*Please note that a Criminal Record check will be required. More info following acceptance. *
Your answer
Christian Experience
Have you accepted Jesus Christ as Lord and Saviour? If yes, when? *
Your answer
Give a brief account of your conversion and discuss how the Lord has been working in your life recently. Also, please describe your relationship with Him today. *
Your answer
What is your reason for wishing to attend Bible School? *
Your answer
Have you received any previous Bible training at a Bible school or college? If yes, please describe the course. *
Your answer
Financial Payment Options
Bible School Tuition Information

STUDENTS ARE RESPONSIBLE FOR SUPPLYING THEIR OWN FINANCIAL SUPPORT.
Scholarships are not available from Capernwray Quebec nor from Torchbearers Capernwray Canada.

TAX DEDUCTION
Tuition fees for Capernwray Quebec may be claimed as a charitable donation for tax purposes in Canada. This may also applies in some of the U.S. states. Please check with your state. Receipts will be issued for tuition fees at the end of the year.

NOTE FOR NON-CANADIAN STUDENTS
Canada Immigration Officers will require proof of financial support at the Port of Entry into Canada.

2017-2018 ONE YEAR PROGRAM – 28 weeks
Sunday, September 10, 2017 - Thursday, April 19, 2018
Tuition: $9,995 (Reduction of over $800)
Quebec Bursary: $500 off total tuition for either full year, fall or winter bible school


2017 FALL BIBLE SCHOOL – 13 weeks
Sunday, September 10, 2017 – Thursday, December 7, 2017
Tuition: $5,000
Quebec Bursary: $500 off total tuition for either full year, fall or winter bible school


2018 WINTER BIBLE SCHOOL – 15 weeks
Sunday, January 7, 2018- Thursday, April 19, 2018
Tuition: $5,800
Quebec Bursary: $500 off total tuition for either full year, fall or winter bible school


Payment plan options will be provided upon completion of application


Conditions of Enrolment
One of the reasons students are accepted at Capernwray Quebec for Bible School is that they are mature and committed to growing in the knowledge and love of the Lord Jesus. All guidelines begin with this premise. It is our effort to keep regulations to a minimum and to expect proper behaviour rather than legislating it.

When a group of people live together, there needs to be a clear understanding of practical guidelines in order to function as a body. The following are neither the means nor the end of true spirituality, but are practical guidelines to benefit the whole body of students and staff.

TIME TABLE
-All students are expected to dedicate themselves unreservedly to their studies and study periods and to conform willingly and promptly to the daily timetable.
-Punctuality and co-operation are essential for the smooth running and well-being of Bible School training and personal discipline.
-All students are expected to complete the course subject applied for, beginning on the first day and remaining to the closing date.

APPEARANCE
Please show moderation and modesty at all times, regardless of prevailing fashions in a permissive society.

In order to not distract or detract from each person's desire to study at Capernwray Quebec, no extreme hairstyles or colours will be accepted during one's stay, as well as no facial piercings, nor earrings on males. Immodest clothing will also not be accepted, including ragged/slashed clothing as a style, short shorts or skirts, or low cut tops.

During your time at CQBC, Sundays will be set apart as a special day of the week. Therefore, for all church services, Sunday supper, as well as other special functions and some ministry outreaches, men and ladies are expected to wear semi-formal clothing including collared shirt and ties for the men and dress pants or skirts for the ladies. No types of denim pants are appropriate.

SUBSTANCE ABUSE
Because these are harmful to a student's physical, moral, and spiritual health, the use of tobacco, alcoholic beverages, and illegal drugs will be strictly forbidden. It is expected that students who indulge in these will quit prior to registration and abstain throughout the course. Pubs and bars are considered inappropriate places for student fellowship and are out of bounds.

ACCOMMODATION
It is normally necessary to share bedrooms with a number of others in dormitory-style accommodation. Although age is taken into consideration, room assignments are made at the discretion of Capernwray Quebec staff, and generally are not altered once established.

I have answered all questions in this application form accurately and to the best of my knowledge. I have read through, fully understand & agree to the above 'Conditions of Enrolment' and the Financial Payment Options sheet. I agree that if I breach these requirements, the Bible School will have the right to suspend me or terminate this agreement without notice. I agree to unreservedly carry out my studies & duties in accordance with this agreement at all times to the best of my ability. I have also read through, fully understand & agree to the Bible School Privacy Policy which can be obtained by visiting our website (www.cqbc.ca).
I Agree
1 Corinthians 10:31- Whatever you do... do all to the glory of God.
Registration Fee
A $35 registration fee is required for the processing of this application. This is in addition to the tuition and is non-refundable. This can be paid by mastercard, visa, or by mailing in a cheque.
Method of Payment *
To pay by credit card please call our office - 1.450.882.1361 or toll free 1877.882.1361
Please keep my card on file to be used for:
BEFORE SUBMITTING YOUR APPLICATION, please confirm that you have completed the following:
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