Application for Admission – Pacific West Baptist College

Personal Information

Email Address

Phone Number

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Date of Birth

Address

Gender

Male

Female

Marital Status

Personal Questionnaire

Do you have any health conditions which require special attention? (optional)

Yes

Have you had or are you now receiving counseling for emotional or mental difficulties? (optional)

Yes

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

Have you ever had a police record? (optional)

Yes

Church Information

Are you currently a member of a local church?

Yes

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

Desired Program (can be changed in the future)

Desired Major (can be changed in the future)

Are you in accord with the doctrines for which this collegestands?

Please see: https://pacificwestbc.org/statement-of-faith/

Yes

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

Educational Background

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

Have you ever been dismissed from school or placed on probation?

Yes

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

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