Home Church Bible College Application
Step 1 Complete this application form.
Step 2 Forward the reference url (http://goo.gl/UcB3g) to your 2 pastoral references.
Step 3 Send a 300-500 word essay describing what has been happening recently in your life as a Christian and include what you are expecting to get out of coming to Bible College.
Step 4 To pay your application fee online go to: http://myhomechurch.ca/give/
Personal Information
Given Name *
Your answer
Surname *
(last name)
Your answer
Address *
Street / mailing address
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
Phone Number *
Best number to contact you (with area code)
Your answer
Emergency Contact *
Name
Your answer
Emergency Relation *
(parent, friend, spouse?)
Your answer
Relative Phone *
Emergency contact phone number
Your answer
Relative Address
Emergency contact street or mailing address (city is next question)
Your answer
Relative City
Emergency contact city
Your answer
Relative Province
Emergency contact province
Your answer
Relative Post
Emergency contact Postal code
Your answer
Name of your Church
Your answer
Church City
Your answer
Pastor
name of your pastor
Your answer
Your Birthdate *
dd/mmm/yr
Your answer
Email Address *
Your answer
Marital Status
If engaged, please give wedding date
Gender *
Country of Citizenship *
Your answer
Citizenship info
How did you hear about Home Church College? *
Your answer
Medical Information
Health Care Plan *
Your answer
Health Care number
Your answer
Describe any medication taken regularly and the reason for its use.
Your answer
Describe any allergies, drug allergies, handicaps or medical conditions which require special attention.
Your answer
Indicate if you have used any of the following in the past 6 months.
At what date did you last use any of the drugs indicated above?
Your answer
Have you ever been subject to psychological or psychiatric care?
Medical Consent *
Please check the box to say that you give permission for medical consent. I hereby grant permission to Home Church College or its consulting physician to render to me any emergency treatment, medical or surgical care that may be deemed necessary. When such care is required, I grant permission for hospitalization at an accredited hospital. (If the applicant is under age 18, guardian signature is required - please send a note by fax 403-343-8480)
Required
Christian Experience
Christian Experience
mark all that you have personally experienced
History *
Please describe how you came to know Jesus Christ as your Savior and include church involvements and personal interests.
Your answer
Date Born Again
Your answer
Pastor contact info
Address, Phone Number, Email
Your answer
Your Ministry
Identify the areas of ministry you feel that God has called you to.
Your answer
Your Interests
Indicate any other talents, abilities, or interests you possess. (music, acting, administration, etc)
Your answer
Do you want to attend Home Church College full time or part time?
Educational History
Educational History *
Indicate which schools you have previously attended. Include name of High School and any Colleges you have attended.
Your answer
Please arrange to have any High School and Post Secondary transcripts sent to Home Church College.
Scan and email or Fax to 403-343-8480 or send by mail: RR4, Site 4, Box 50, Red Deer, AB T4N 5E4
Your answer
Have you ever dropped out, been suspended, or expelled from any school? If yes, explain. Have you ever been denied acceptance to any school? If yes, explain.
Your answer
Financial Information
Application fee $50 - due with application (call 403-343-6570 ext 511 to pay) or go to: http://myhomechurch.ca/give/
Registration fee $200 - due with acceptance
Tuition $4000;
Grad fee $100 due with tuition
Financial Information *
Indicate your tuition payment plan.
Required
Occupational History
Name of present Employer, duties performed, date started employment
Your answer
Declaration *
I certify that all statements made in connection with this application are true and complete in all respects and that no information has been withheld. I understand that misrepresentation, falsification of documents or withholding of requested information are serious offenses which may result in the cancellation of my admission and registration at Home Church College. I waive any right to view or challenge the information given by any reference to Home Church College. I trust that all information given by references will remain confidential.
Required
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