VINTAGE BIBLE COLLEGE & SEMINARY

Student Enrollment Application

***Confidential***

Please complete the information below, and submit to Vintage Bible College & Seminary.  You may also complete it by telephone at (336) 759-0591, or print this form and fax or mail to:  Vintage Bible College & Seminary, 8003 North Point Blvd., Winston-Salem, NC 27106 USA.  Click here to download a printable copy of the Student Application in Adobe Acrobat Reader. 

Date

Title

First Name

Last Name

Street/Mailing Address

City

State

Zip/Postal Code

Country

E-mail Address

Day Telephone

Evening Telephone

Gender

The last 4 digits of your Social Security Number (include the last 4 digits only)

Occupation

Years of Experience In Occupation

Total Years In Ministry

Have you accepted Jesus Christ as your Lord and Savior?

Approximately how long have you been a Christian?

Background/Affiliation?

How did you hear about Vintage Bible College & Seminary?

Previous Education/Experience

High School(s) attended:

City & State:

Dates You Attended:

Level attained: 


Schools Attended (College, Seminary, University, etc.)

Name of School:

City & State:

Dates You Attended:

Credit Hours Earned:

Field of Study:

Degree(s) Earned & Date Graduated: 


Name of School:

City & State:

Dates You Attended:

Credit Hours Earned:

Field of Study:

Degree(s) Earned & Date Graduated: 

Name of School:

City & State:

Dates You Attended:

Credit Hours Earned:

Field of Study:

Degree(s) Earned & Date Graduated: 

List all schools from whom you are requesting transcripts/credits/credentials to be forwarded to Vintage Bible College & Seminary:

List all Life Learning Experiences that you want considered for credit (You must send a detailed resume of all experience, credentials, accomplishments, ministry, training, military, etc., including references and documentation to Vintage Bible College & Seminary)

Program of Study

Degree program you wish to enroll in

Major Area of Study Desired

Credit Card Information

Note:    There is a one time $30.00 application fee.  Please submit your payment information below or contact Vintage Bible College & Seminary toll free by phone at (800) 464-8065 (U.S. & Canada) or (336) 759-0591 (Abroad) .

Please charge the one-time $30.00 non-refundable application fee to my credit card:

Type of credit card:

Name as it appears on the card:  

Credit card number:  

Card billing address:  

Date of expiration:  

Credit Card ID (Last 3 digits on Signature Panel):  

***Confidential***

STATEMENT:   I certify that all of the information listed on this application is true and correct to the best of my knowledge. I acknowledge that I have access to a copy of the student catalog.   I understand that all items related to the application process become the permanent property of Vintage Bible College & Seminary.

Please check to be sure that you have completed each portion of the request form.

Important Notice:  You may contact us by phone at (336) 759-0591  · Email: vbc@vintagebiblecollege.org · Vintage Bible College & Seminary, 8003 North Point Boulevard · Winston-Salem, North Carolina 27106 USA  · www.vintagebiblecollege.org 

Thank you!

We look forward to your being a part of the VBC student body!

 

 

Click here to download a printable copy of the Student Application in Adobe Acrobat Reader

Click here to download a demo version of our program

Click here to return to the Vintage Bible College & Seminary Web Site

 


SSL Certificates