IMPORTANT: Please PRINT or TYPE. ANSWER ALL QUESTIONS. Applications will not be processed nor academic standing be assessed
unless all questions are answered and the application signed and dated by applicant. Do not leave any question blank. Put “N/A” if an item, such as a FAX number or email address, does not apply.

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Name *

First

Last

Mailing Address

City, State, Country & ZIP

Phone

Email *

Date of Birth

Marital StatusSingleMarriedDivorcedWidowed

Educational InformationGEDHigh School DiplomaCollege

Church Affiliation

City, State, & ZIP

Current Ministry StatusSenior PastorAssistant PastorYouth PastorChaplainEvangelistMusic MinistryLay Ministry

# Years in Ministry

# ZIP Signature

Brief Testimony

Course DesignationABC MembershipCertificateDiplomaDegree Course Credits

Digital Signature

Date

Submit

Non-Discrimination Policy ABC does not discriminate on the basis of nationality, ethnic origin, age, or gender. We guarantee the rights and privileges, and the availability of programs and activities to all students of the College.

Privacy Rights of Students STATUTE 20, UNITED STATES CODE, 1232g and regulations adopted pursuant thereto. The code provides for an institution to establish a category of student information termed “directory information.” All information, such as health and medical records, disciplinary records, records of personal counseling, required student and family financial income information records, transcripts or student permanent academic records, student placement records and other personally identifiable information shall be open for inspection only to the student and such members of the professional staff of the college as have responsibility for working with the student. Such information will not be released to second parties without consent of the student. Except as required for use by the president in the discharge of his official responsibilities as prescribed by laws, regulations of the state board, and board policies, the designated custodian of such records may release information from these records to others only upon authorization in writing from the student or upon a subpoena by a court of competent jurisdiction.

PLEASE READ THE FOLLOWING AFFIDAVIT OF AGREEMENT CAREFULLY BEFORE SIGNING

1. I certify that I have truthfully and accurately answered all questions contained in this application. I understand that falsification of any kind is grounds for refusal of my application or expulsion should falsehood be discovered after acceptance to the College.
2. I indicate by my signature that I have been notified of my rights as recorded by STATUTE 20, UNITED STATES CODE 1232g.
3. I certify by my signature that I agree to abide by the policies of this institution as described in the ABCA Student Handbook. I will not in any manner, without written authorization, copy, in any media form(s) or sell course materials or any other material which is or may be proprietary to the ABCA.
4. ABC is not regionally accredited. ABC does not guarantee the acceptance of academic credit by colleges and universities or other Bible
   schools. ABC is purely Theological in nature therefore no liberal arts programs are necessary.
5. I acknowledge that ABC is not a job placement service and makes no claims regarding employment.