Providence Baptist College

General Info

Full Name

Date of Birth

Please upload a picture of yourself

I am applying for admission as

For which semester are you applying?

Estimated Transfer Hours

Gender

Marital Status

Maiden Name

Home Address

Home City

Home State

Home Zip Code

Email Address

Cell Phone Number

Home Phone Number

Are you a US Citizen?

Yes
No

Where do you hold your citizenship?

Race/Nationality

Parent's Address

Name of Father or Legal Guardian

Father's Phone Number

Name of Mother

Mother's Phone Number

Is there anything in your past which may be important for the college to be aware of?

Known addictions, questionable practices, misdemeanors, felonies, etc. If yes, briefly explain below. Type "n/a" if non-applicable

Do you have any outstanding debt?

Yes
No

Home Church Name

Pastor's Name

Church Phone Number

Church Address

Church City

Church State

Church Zip Code

List the name of a friend who would be interested in receiving information about Providence Baptist College

Friend's Email Address

Friend's Phone Number

Student Info

Academic Info

Medical Info

Spiritual Info

How many years have you been saved?

Are you a church member?

Yes
No

How regularly do you attend church?

Weekly
Monthly
Occasionally

Personal Testimony

Please write a detailed explanation about your salvation experience, your call to service, your reasons for attending Providence Baptist College, and your plans after graduation.

Terms and Conditions

Substance Abstinence Clause

Because of the Biblical mandates against them, Providence Baptist College prohibits the use of alcohol, narcotics (including marijuana) and tobacco. The use of any of these substances at any time is expressly prohibited while enrolled at Providence Baptist College. Do you agree to totally abstain from these substances while enrolled at Providence Baptist College?

Yes
No

Compliance Agreement

Upon registration, I agree to comply with the doctrines, rules, regulations, and financial obligations of Providence Baptist College. By checking the box below, I hereby certify that this application is true and complete with no omissions in any area and that I realize any untrue statement may make me subject to immediate dismissal from Providence Baptist College. (If under 18, parent must review information and check 'agree' below.)

I Agree

Apply

Application