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Application
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Please fill out each blank on this application. The questions with a red asterisk (*) are fields that are required in order for the application to be submitted, but all the questions need to be answered.  When finished click the Submit Application button at the bottom of the form. Please note that the application fee is required and may be paid after you have submitted your application via mail, or it will be applied to your school bill when you arrive for school.

Don't forget to review the Admissions Requirements before you fill out this application. Applicants outside Canada and the United States should also check our International Student requirements
*1. When will you begin your studies?
Location:

*GENERAL INFORMATION
*1. Legal Name
First: Last: Middle:

*2. Name I go by is:


*3. Date of Birth (MM/DD/YYYY) *4. Social Insurance Number
/ /

*5. Home Address
Number and Street City
Prov./State Postal Code
Country  
 
Telephone No. E-Mail


*6. Present Address (if different from above) *Use this address until:
Number and Street City
Prov./State Postal Code
Telephone No.


*7. Gender *8. Race


*9. Country of Citizenship
Canadian Citizen
Permanent Resident of Canada
Non-Resident of Canada
Do you have a student visa?
Yes, visa exp. date:
No, if no. What visa do you hold?		 Country of Citizenship (if not Canada)

Country of Birth (if not Canada)
Primary (native) Language: If other please explain:
Secondary (other fluent) Language: If other please explain:

*10. Marital Status
Name of fiancé/spouse: Date of wedding:
If married, names and ages of children:

*EDUCATION
*1. Education Completed
College/Bible Institute: Post Graduate:

*2. High School Information
High School: Date Graduate(d):
Number and Street City
Prov./State Postal Code
Course Extracurricular activities/awards


*3. Schools Since High School
Names of all schools: Date Entered: Date Withdrew: Date Graduated: Degree:
1.
2.
3.
Give Reason for leaving:
*3. Have you ever applied to any Bible schools and been rejected? Yes No
If so, where?
Why?

*4. Have you ever been dismissed from a school? Yes No
If so, where?
Why?

* 5. Have you served in the armed forces? Yes No
Branch: Date of Service:
Rank Achieved:

Date and type of discharge:
*PERSONAL HISTORY
*1. Parent(s) or Guardian Name
Number and Street City
Prov./State Postal Code
Telephone No. E-Mail


*2. Parents are:
Legal Guardian's Name (If not living with parents)
Mother's Name: Legal Guardian's Occupation

*3. When was the last time you:
used tobacco alcohol hallucinogenic drugs/marijuana

*4. If accepted, do you agree to abide by the rules and regulations of the school both on and off campus while a student? Yes No
*5. Have you ever been convicted of a crime? Yes No
If so, explain:


*6. Have you ever been in prison? Yes No
If so, explain:
*7. Are you or have you ever been on probation? Yes No
If so, explain:


*CHRISTIAN EXPERIENCE
*1. Church Membership Denomination
Number and Street City
Prov./State Postal Code
Date of Membership Attend this church regularly?
Yes No
If you regularly attend another church, please give name and address:


*2. Date of Salvation


*3. What do you believe is necessary for salvation?


*4. Do you have assurance of your salvation?


*5. On what do you base your assurance (include Scripture reference)?


*6. Are there any circumstances that could cause you to lose your salvation?

Click here to read the: Word of Life Standard of Conduct (Link opens in new window)
Click here to read the: Word of Life Statement of Faith (Link opens in new window)
*7. Have you read and are you in complete accord with the Statement of Faith of Word of Life?
Yes No

*8. Have you read and are you in complete accord with the Standard of Conduct of Word of Life?
  Yes No
*9. If not, in what areas do you disagree?


*10. Are there any areas you feel must be added?


*11. Select the statement which best represents your attitude toward the present-day tongues movement:


*HEALTH INFORMATION
*1. Do you have any health condition which requires special attention? Yes No
If so, explain

*2. Do you have any physical handicap which might need special attention to participate in our program? Yes No
If so, explain

*3. Do you have any learning disabilities? Yes No
If so, explain

*4. Have you ever received professional treatment or counseling for a mental or emotional condition?
Yes No
If so, list dates and explain

*5. Do you take any medication on a regular basis? Yes No
If so, what medication:


*Autobiography
Write a brief autobiography (200-300 words) mentioning your conversion, some of your Christian experience, family background , goals for what you are going to be doing after your time at the Bible Institute, and anything else that might have a bearing upon your study at Word of Life Bible Institute.
*Who or what was instrumental in your decision to apply to Word of Life Bible Insitute?

If You received an application code please enter it here:


I have read and am in agreement with the Statement of Faith in the current catalogue and the Standard of Conduct above. If accepted, I will abide by the standard of the school and strive to maintain a high standard of Christian conduct while enrolled as a student.
 
I am ready to submit this form. (If left unchecked, you will be asked to return to this page because you are missing required information.)