APPLICATION

• Application for Enrollment / Evaluation

• General Information

• Full Name:*
• Street Address:*
• City:*
• State:*
• Zip code:*
• Country:*
• Home Phone:
• Business Phone:
• Email:*
• Date of Birth:
  Date Format: MM slash DD slash YYYY
• Place of Birth (city, state):
• Total Years in Ministry:
• Present Occupation:
• How long?
• Social Security Number:*
• Sex:
  Please Choose OneMaleFemale
• Marital Status:
  Please Choose OneSingleMarriedDivorced
• Name of Spouse:
• Ethnic Origin Information:
  Please Choose OneCaucasian (Non-Hispanic)Black (Non-Hispanic)American IndianAsian Pacific IslanderHispanicAlaskan NativeKorean
• Other-Specify:
• Payment Plan: 1, 2, or 3

• Educational Information

• Name of High School:
• High School Graduation Date:
  Date Format: MM slash DD slash YYYY
• City:
• State:

• Previous Education

  In order to evaluation your previous college credits, please provide Bethany with the following information. List all colleges attended in chronological order, (beginnning with the first and ending with the last). You may receive advanced standing for transfer credits earned from other acceptable colleges and seminaries and/or Life Learning Experience and apply them toward your degree program. Bethany only allows 30 credits for life learning and that can only be applied in the undergraduate level. However, and advanced standing, whether it is transfer credits or credit received from Portfolio Learning Assessment, shall in no instance preclude a minimum of 30 credit hours of study with Bethany.
• Schools Previously Attended
• Name of Institution:
• City:
• State:
• Hours completed:
• Dates attended:
• Institution Degree:
• Institution Graduation Date:
  Date Format: MM slash DD slash YYYY
• School 2
• Name of Institution:
• City:
• State:
• Hours completed:
• Dates attended:
• Institution Degree:
• Institution Graduation Date:
  Date Format: MM slash DD slash YYYY
• School 3
• Name of Institution:
• City:
• State:
• Hours completed:
• Dates attended:
• Institution Degree:
• Institution Graduation Date:
  Date Format: MM slash DD slash YYYY

• Degree Information

  What degree program do you desire to enroll?
• Bachelor:
  Select OneGeneral Bible Diploma - 1 yearAssociate Degree - 2nd yearGraduate of Theology - 3rd yearBachelor of Theological StudiesBachelor of Applied Science in BibleBachelor of Arts in Religion/Christian EducationBachelor of Arts in Religion/Christian CounselingBachelor of Arts in Religion/MissionsBachelor of Arts in Religion/BibleBachelor of Arts in Religion/Pastoral Ministry
• Master:
  Select OneMasters of Arts in Religion/BibleMasters of Arts in Religion/Christian EducationMaster of Ministry/Pastoral MinistryMaster of Ministry/MissiologyMasters of Arts in Religion/Christian CounselingMaster of Theological Studies/Bible/Theology
• Doctorate:
  Select OnDoctor of Biblical StudiesDoctor of Philosophy in Religion/Christian CounselingDoctor of MissiologyDoctor of Ministry/Pastoral MinistryDoctor of Philosophy in Religion/Christian EducationDoctor of Philosophy in Religion/BibleDoctor of Theological Studies/Bible/Theology
• Life Learning Experience
  Do you have any life-learning experience that you would like to be considered? In the box below give a brief summary of your life-learning experience that you think might apply towards credits.

• Payment Information

  A one time $50.00 Application/Evaluation fee is required to submit an application for enrollment or evaluation. If the student completes the enrollment, the $50.00 fee will be deducted from the overall cost of the selected degree program.
• Credit Card Information
• Type of Credit Card:
  Select OneVisaMasterCardDiscover
• Expiration date:
  Date Format: MM slash DD slash YYYY
• Card number:
• Name on card:
• Authorization Code:
  (3-4 digit number found on the back of your card.)

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