enrollment

Date:__________ (YOU MAY ENROLL ANY DAY OF THE YEAR)

I am enrolling in the following program (check one):

ThG_____ BBS(3 year)_____ BBS(4 year)_____ MBS**_____ DBS**_____

** We will need a copy of your previous Bible degree(s) and transcript(s) from the school(s). Send the
copy of the degree(s) with your enrollment. Call the school(s) and have them mail the transcript(s).
Your unit will be mailed to you after we receive and review the transcript(s).

I am enrolling with my spouse in the Husband/Wife Plan. Yes_____ No_____

Tuition Amount Enclosed: $___________ (See Pricing Schedule Page)

Name:__________________________________________________________

(Pastor, Missionary, Evangelist, Mr., Mrs., Miss)

Mailing Address:____________________________________________________________

City/State:____________________________________________ Zip:_________________

Date of Birth:_________________ Occupation:___________________________________

Telephone: (______) ____________ Email Address: ______________________________

Year Saved:_____ Church Member? Yes___ No___ Marrital Status: _______________

Name of your Church: ______________________________________________________

Address:_________________________________________________________________

City/State:___________________________________________ Zip:__________________

Pastors Name:_____________________________________________________________

Pastors Telephone: (______) __________________

High School Grad? Yes _____ No _____ Year Graduated: _______

Name of High School: _____________________________________________________

Address:_________________________________________________________________

City/State:___________________________________________ Zip:__________________

List any colleges or Bible Institutes from which you wish to transfer credits. (NOTE: We require
transcripts from all Bible colleges you have attended):

School:___________________________________________________________________

How did you learn about GULF COAST BIBLE INSTITUTE?

(please include website or search engine where you found GCBI)

_________________________________________________________________________

I have reviewed every page on the website. Yes__________No__________

I AGREE TO THE DEGREE REVOKING CLAUSE. Initials ________ (Agreement Required)

I am in agreement with the Doctrinal Statement. Yes__________No__________

If NO, state the part(s) with which you disagree.

_________________________________________________________________________

I agree to abide by the rules and regulations set forth on the pages of the website.

Yes __________ No __________

I am enrolling as a Ministerial Student. (Male students called to preach ONLY)

Yes __________ No __________

I am enrolling under the HUSBAND/WIFE plan. Yes_______ No_______

______________________________________________________

Signature of Student

In the space below give a clear but concise testimony of your salvation and a brief description of

any Christian work you have done. No person shall be admitted to GCBI without a clear testimony of
salvation.

_________________________________________________________________________

FINAL CHECKLIST: MAKE SURE YOU PROVIDE THE FOLLOWING:

_____1. Completed Enrollment Application. (All pages of this form)

_____2. Personal Check or Money Order for the correct tuition amount. DO NOT MAKE CHECK
OUT TO GCBI. MAKE IT OUT TO "FOUNDATION MINISTRIES."

_____3. A recent photo of yourself for your student file.

_____4. Copies of any Bible degrees if enrolling in the M.B.S. or D.B.S. programs.

BE SURE TO CONTACT YOUR PREVIOUS BIBLE SCHOOL(S) AND HAVE THEM SEND
TRANSCRIPTS TO THE ABOVE ADDRESS. THIS APPLIES TO TRANSFER AND GRADUATE
LEVEL STUDENTS.

MAIL EVERYTHING TODAY!