I. PERSONAL INFORMATION:
Title
DR
REV
MISS
MR
MRS
MS
First Name *
Last Name *
Email Address *
Date of Birth *
Home Address *
City *
State *
Zipcode/Postcode *
Country *
-- Select Country --
AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SERBIA AND MONTENEGRO
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
Home Phone Number *
Work Phone Number *
Enter Word Verification in box below *
Social Security Number
Country of Citizenship
USA
Other
Other
If citizen of another country, what type of Visa
Student Visa
Permanent Resident
Other Visa
Other
If International, US Contact Address
Gender
Male
Female
Ethnicity
-- Please select --
Asian
Black/African American
Caucasian/White
Hispanic
International
Native American/Native Alaskan
Other/Unknown/Do not wish to answer
Two or more races
Maritial Status
-- Please select --
Single
Engaged
Married
Widowed
Separated
Divorced
If separated or divorced, please briefly explain below
II. ENROLLMENT INFORMATION:
School Applying for
Washington BIble College
Capital Bible Seminary
WBC BA Biblical Studies
Bible/Theology
Youth Ministry
Sports Ministry
Intercultural Studies
Psychology/Counseling
Music
Teacher Education
Family Studies
Adult Degree Completion
Degree Completion
WBC BA General Studies
Business Administration
Social Work
Communication
Adult Degree Completion
WBC Other
Audit
FirstLook
Associate of Arts
Certificate
CBS Master of Theology
New Testament
Old Testament
Theology
Counseling
Ministry Leadership
CBS Master of Divinity
Pastoral
Counseling
Missions
General
CBS Master of Arts in Biblical Studies
New Testament
Old Testament
Missions
Bible Exposition
Theology
CBS Master of Arts in Christian Counseling and Discipleship
Youth and Family
Church and Para-Church
Christian School Guidance Counseling
Licensure Track
CBS Master of Arts in Ministry Leadership
CBS Master of Arts in Ministry Leadership
CBS Other
Audit
FirstLook
Certificate in Biblical Studies
Certificate in Christian Counseling and Discipleship
Certificate in Ministry Leadership
Foundation in Ministry Leadership
Expected Enrollment Date
Fall
Spring
Summer
Year
Attendance Plans (you may check more than one)
Full-time Commuter
Part-time Commuter
Full-time Dorm Student
Day student
Evening student
Have you attended WBC or CBS in the past?
-- Please select --
Yes
No
Full Name of Church
Church Address
Church Phone
Church Denomination
Pastor's Name
Is your Pastor a WBC/CBS Alumnus?
-- Please select --
Yes
No
III. OTHER INFORMATION:
HIGH SCHOOL EDUCATION
High School
Home School
General Equivalency (GED)
Have you ever been dismissed or placed on probation for Academic Reasons?
Yes
No
If you answered yes to the question above, please explain below
Have you ever been dismissed or placed on probation for Disciplinary Reasons?
Yes
No
If you answered yes to the question above, please explain below
Check any of the following you have used/participated in during the last 12 months
Tobacco
Alcoholic Beverages
Non-Medically Prescribed Drugs
Gambling
None of the Above
If you checked any of the options above, please explain the reason for your participation below
Have you ever been charged with a criminal offense?
Yes
No
If you answered yes to the question above, please explain below
Who did God use to make you aware of / influence you to apply to Washington Bible College / Capital Bible Seminary?
Faculty/Staff
Students
Pastor
Other
Are you applying to another College/Seminary/or Graduate School?
Yes
No
If so, where?
Are you a veteran?
Yes
No
If yes, type of discharge
Are you eligible for Veterans benefits?
Yes
No
Will you be applying for financial aid?
Yes
No
High School Name
High School Address
City/State/Zip
Dates of Attendance
Credits Received
Diploma (yes/no)
Area of Concentration (if applicable)
College Name
Address
City/State/Zip
Major
Degree Conferred
Credits Earned
IV. PAYMENT INFORMATION: $40 Application Fee
Name on Card *
Card Number *
Card Expiry *
01
02
03
04
05
06
07
08
09
10
11
12
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Card Type *
Visa
Master Card
Bank Card
American Express
Diners Club
JCB
CCV Number *
Amount *