CrossRoads Bible Institute -

First Name:

*

M.I.:

Last Name:

*

Address:

*

Apt/Suite:

City:

*

State:

*

Zip:

* (55555)

Email:

*

Home Phone:

* (1-555-555-5555)

Work Phone:

(1-555-555-5555)

Birth Date:

* (mm/dd/yyyy)

Emergency Contact:

*

Emergency Phone:

* (1-555-555-5555)

Emergency Relation:

*

Program *

Diploma of Biblical Studies

Diploma of Biblical Studies w/Concentration

None
Emphasis in Pastoral Ministry
Emphasis in Biblical Counseling
Emphasis in General Church Ministry
Emphasis in Children's, Youth, and Christian Education ministries
Emphasis in Missions

Audit

Are you a member of this church? *

Yes

No

If no, what church?

Do you know for sure that you will go to heaven when you die? *

Very Sure

Not sure, but I want to be

If you marked Very Sure, what do you base this on?

Do you have a high school diploma or its equivalency? *

Yes
No
(If yes, a copy of your diploma must be provided if taking courses for credit.)

Have you previously completed a college English course? *

Yes
No
(If yes, a copy of your transcript must be provided if taking courses for credit.)

What is your aim in attending CrossRoads Bible Institute? *

Prepare for full-time ministry

Become a better servant in the church

Simply to grow in the grace and knowledge of the Word

By submitting this application form I am indicating that I am in full agreement with the doctrinal statement of CrossRoads Bible Institute, and if I am accepted as a student, I agree to abide by the policies set forth in the catalog of the Institute. CrossRoads Bible Institute is a ministry of CrossRoads Baptist Church.

Enter image code:

*

Username:

Password:

CrossRoads Bible Institute

Admissions Application