Student Application ~ SMBI

1 Personal Information

2 Academic Information

3 Student Pledge

4 Payment

Name*
First Middle Last (Maiden)
Birth Date*
Age*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Gender*
- Male
- Female
Citizenship
Do you have a personal website?
- Yes
- No
Website Address
Marital Status
- Single
- Married
- Widowed
Will your spouse be attending also?
- Yes
- No
Children
Please list the names and ages of any children that will be coming with you
Have you attended SMBI before?
- Yes
- No
When did you attend?
Check all that apply:
- Teaching at a christian school within one year prior to enrollment
- VS of one year or more ending within one year prior to enrollment
- Child of and fully supported by an ordained or licensed person
- Full-time missionary
- Ordained or licensed
- Desire to work for a diploma
What year do you project graduating?
Which major do you prefer?
- Bible & Theology
- Christian Education
- Missions
Specify any dietary needs (extra fees may apply):
Family Information
Father's Name
Parent's Phone
Parent's Email
Occupation
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Father's Status
- Deceased
- Ordained or licensed
- Full-time missionary
Mother's name
- Contact information is same as above
- Deceased
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Church Information
Name of church you presently attend:
Name of conference or fellowship:
Pastor's Name
Pastor's Phone
Pastor's Email
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Do you have any questions?

Student Application

Family Information

Church Information

First Term Classes

Second Term Classes

Third Term Classes

Fourth Term Classes

Fifth Term Classes

First Year Students Only

Student Application

Family Information

Church Information

First Term Classes

Second Term Classes

Third Term Classes

Fourth Term Classes

Fifth Term Classes

First Year Students Only

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