Leave this field blank Email Address Gender Male Female Marital Status Select One Single Married Widowed Divorced Separated Do you have any health conditions which require special attention? (optional) Yes No Have you had or are you now receiving counseling for emotional or mental difficulties? (optional) Yes No To what extent, if any do you use or have used tobacco, alcoholic beverages or hallucinogenic drugs? (optional) Are you now or have you ever been under the supervision of a parole officer or under the custody of a juvenile or other court? (optional) Yes No Have you ever had a police record? (optional) Yes No Are you currently a member of a local church? Yes No If yes, who is your Pastor? (optional) If no, why? (optional) When do you desire to enter Pacific West Baptist College?? (optional) Do you intend to enroll as a full-time student? (optional) Yes No Desired Program (can be changed in the future) Choose one Christian Life Foundation (one-year program) Biblical Studies (four-year program) Desired Major (can be changed in the future) Choose One-year program only Pastoral Ministry Theology Missions and Evangelism Music Christian Education Are you in accord with the doctrines for which this collegestands? Please see: https://pacificwestbc.org/statement-of-faith/ Yes No What influenced your decision to apply to PWBC? (optional) How will you finance your educational training? (optional) Myself Parents Myself and my Parents Other Have you personally accepted Christ as Savior? Yes No Are you a high school or GED graduate? NOTE: It is the student's responsibility to have all transcripts of both high school and college forwarded to the Pacific West Baptist College before registration date. Yes No Have you ever been dismissed from school or placed on probation? Yes No Terms & Conditions I HEREBY MAKE APPLICATION FOR ADMISSION TO THE PACIFIC WEST BAPTIST COLLEGE. If I should be accepted I agree to give cheerful and ready obedience and to cooperate with the spirit and regulations of the college. I understand that attendance at PWBC is a privilege, not a right, and agree to treat it as such. I AGREE Send
