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Student Application

HomeStudent Application FormsStudent Application

Complete and submit the following form to apply for studies at the institute. A pastor and parental reference form will also be required.

student application Download

"*" indicates required fields

Step 1 of 2

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Name*

First Middle Last

Birth Date*

MM slash DD slash YYYY

Age*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Gender*

Male

Female

Citizenship

Do you use social media?*

Yes

No

If yes, what?

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?

School year applying for:*

2022-2023

2022-2023 Terms*

First Term

Second Term

Third Term

Fourth Term

Fifth Term

Will you need dormitory facilities?*

Yes

No

Would you like to sing in choir?

First Term

Second Term

Third Term

Fourth Term

Fifth Term

What part do you sing?

Soprano

Alto

Tenor

Bass

First Term Ministry Choir Tour

Tour

Would you like to participate in choir tour?

Second Term

Third Term

Fourth Term

Fifth Term

For 1st term. Choose a minimum of 4.5 credits. Credits are listed beside the class choices. 3cr. classes can also be taken for 1.5 cr. which can be finalized at registration.

First Term 2022 Classes

Please indicate your desired classes, at most one per class period.

1st Period

Gal., Col., Philemon, Phil. EY - 3cr

Hebrews BW - 3cr

2nd Period

I,II,III John / Jude EY - 1.5cr

*Music Fundamentals SH - 1.5cr

*Joshua/Judges LB - 1.5cr

3rd Period

Developing the Servant LB - 3cr

Christian Ordinances CS - 3cr

For 2nd - 5th terms - choose a minimum of 6 credits. Credits are listed beside the class choices. Credits will be finalized at registration.

Second Term 2022 Classes

Please indicate your desired classes.

1st Period

Early Church History PB - 3cr

Biblical Manhood BW - 3cr

2nd Period

Christian Morality CS - 3cr

John EY - 3cr

Books of Moses LB - 3cr

3rd Period

Personal Evangelism PB - 3cr

*Public Speaking SH - 1.5cr

*Congregational Conducting SH - 1.5cr

4th Period

Servanthood that Enriches LB - 3cr (Pre-requisite Required)

*James EY - 1.5cr

Third Term 2023 Classes

Please indicate your desired classes.

1st Period

Modern Church History BW - 3cr

Old Testament Survey DY - 3cr

2nd Period

Growth In Christ CS - 3cr

Muslim Evangelism EY - 3cr

Genesis BG - 3cr

3rd Period

Ephesians DY - 3cr

*Ezra/Nehemiah BW - 1.5cr

Spanish I SH - 3cr

4th Period

*Methods of Bible Study EY - 1.5cr

**Principles of Biblical Interpretation EY - 1.5cr

*Class Voice BG - 1.5cr

**Biblical Worship BG - 1.5cr

Fourth Term 2023 Classes

Please indicate your desired classes.

1st Period

Lives of Great Christians KR - 3cr

Victorious Christian Living BW - 3cr

2nd Period

Peace & Simple Life CS - 3cr

Major Prophets EY - 3cr

3rd Period

Spanish II SH - 3cr

Issues in Anabaptist Missions KR - 3cr

4th Period

Principles of Teaching EY - 3cr

TBA

Fifth Term 2023 Classes

Please indicate your desired classes.

1st Period

The Devoted Life BW - 3cr

***Psalms SH - 3cr

2nd Period

Christian Family I CS - 3cr

Romans EY - 3cr

3rd Period

Ruth & Other Bible Women DW - 3cr

TBA

4th Period

*Parables BW - 1.5cr

Gospel & Culture EY - 3cr

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* Class begins first day of term and alternates thereafter **Class begins second day of term and alternates thereafter ***Class begins third week of term and will run daily

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Additional Questions

Describe your current relationship w/ parents & church leaders*

Describe your music listening tastes & favorite artists*

Describe your current use of internet, apps, etc.*

Do you tend to be a leader, follower, or other*

Do you tend to be an introvert or extrovert*

Are you currently dating? If yes, who?

First Year Students Only

First time students, upload a recent photo:

Max. file size: 512 MB.

Years of High School

1

2

3

4

Years of College

1

2

3

4

Name of High School

Year Graduated

Name of College

Year Graduated

Other Schooling (Vo-Tech, Bible Schools)

Year Graduated

Briefly state why you want to attend SMBI

Briefly describe your personal experience of coming to salvation through Jesus Christ and summarize your spiritual growth and development since your conversion. Also describe your present walk with God, being free to share areas of both struggle and victory.*

Student Pledge

I appreciate the opportunity to attend SMBI as a student. Therefore, I will do my best to abide by and promote the rules and standards set forth in this handbook.

It is my intention to have an experience of spiritual growth and to enhance the spiritual atmosphere of SMBI by my personal conduct.

I understand that should I become lax in observing these rules, I am open to be disciplined by the Administration of SMBI.

I agree to follow the rules as set forth in the Student Handbook and herewith I affix my signature.

Signature*

Registration Fee Payment

Registration fee*

Price:

Payment Method*

Credit Card

PayPal

Send a Check by Mail

Credit Card*

Card Details

Cardholder Name

7304 Lincoln Highway
Harrisonville, PA 17228

Office Hours: 8:00 AM – 5:00 PM

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Contact SMBI

Email: smbi@smbi.org
Fax: 717-485-0641
Office: 717-485-4341
Staff: 717-485-5083
Ladies’ Dorm: 717-485-4536
Men’s Dorm: 717-485-3245

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