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The Grenadines +1 ๐ป๐ช Venezuela +58 ๐ป๐ฌ Virgin Islands, British +1 ๐ป๐ฎ Virgin Islands, U.s. +1 ๐ป๐ณ Vietnam +84 ๐ป๐บ Vanuatu +678 ๐ผ๐ซ Wallis And Futuna +681 ๐ผ๐ธ Samoa +685 ๐ฝ๐ฐ Kosovo +383 ๐พ๐ช Yemen +967 ๐พ๐น Mayotte +262 ๐ฟ๐ฆ South Africa +27 ๐ฟ๐ฒ Zambia +260 ๐ฟ๐ผ Zimbabwe +263 Date of Birth Month January February March April May June July August September October November December Nothing found Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Nothing found Year 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 Nothing found Address Gender Male Female Marital Status Select One Single Married Widowed Divorced Separated Personal Questionnaire 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 Church Information Are you currently a member of a local church? Yes No If yes, who is your Pastor? (optional) If no, why? (optional) Educational Planning 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 Nothing found Are you in accord with the doctrines for which this collegestands? Yes No Please see: https://pacificwestbc.org/statement-of-faith/ 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 Educational Background Are you a high school or GED graduate? Yes No 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. Have you ever been dismissed from school or placed on probation? Yes No Terms & Conditions I AGREE 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. Validate your submission