Name
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First Name
Last Name
Phone
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Email Address
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Current Address
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Date of Birth (mm/dd/yy)
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Place of Birth (city & state)
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Gender
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Martial Status
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Education After High School (date/degrees earned)
Please include all academic institutions - college, university, seminary, and professional training:
Explain God’s plan of salvation for humanity.
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Share your personal salvation story below.
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What areas of growth have you seen in your life since you made a decision to follow Christ?
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Please provide 3 references not related to you: A Pastor, An Employer and a Friend, whom have known you 5 years or more.
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Provide the reference's name, phone, email, and relation to the applicant.
List talents and gifts to help better place you in our volunteer program on and off campus.
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Why are you applying to attend GBC?
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Please describe the family situation in which you grew up:
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Have you ever been plead guilty, no contest, or been found guilty by jury or judge to charges that you have committed with the exclusion of traffic violations?
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Answer yes or no. If yes, please explain:
Have you ever been dishonorably discharged from any military service?
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Answer yes or no. If yes, please explain:
Have you ever used or been addicted to illegal drugs or alcohol?
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Answer yes or no. If yes, please explain:
Have you ever appeared on a national sex offender list?
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Answer yes or no. If yes, please explain:
Have you ever been involved in sexual misconduct of any nature?
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Answer yes or no. If yes, please explain:
Medical History
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Name: ___________________________________________________ Date: _______________ Address: ________________________________________________ City: _________________ State: ______ Zip Code: _________ Phone: ( ) __________________
Birthdate: _____________ Social Security Number: ___________________ Sex: ___ Height: _____ Weight: ___________
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Fractures and/or severe injuries. Please describe and date:
List Surgical operations and hospitalizations:
Diseases of Applicant (List and explain below):
Measles Rheumatic Fever Typhoid Fever Mumps Tuberculosis Diphtheria Chicken Pox Pneumonia HIV+ Whooping Cough Malaria AIDS Scarlet Fever Hepatitis
General Problems (List and explain below):
Allergies Heart Murmur Diarrhea Dizziness Headaches Heart Condition Urinary Fainting Hearing Heartburn Menstrual Blackouts Vision Ulcers Back Trouble Convulsions Asthma Cramps Joints Skin
Describe conditions/treatment for which you receive regular care and/or take medicine:
List any medication or food to which you are allergic:
Have you had or are you now receiving professional counseling?: If yes, please supply dates and reasons for treatment:
List your immunizations with dates or attach copy of immunization records:
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This authorization is effective from __________________________ to ____________________
Name of Parent/Guardian: Print_________________________________Signature_________________________________
Relationship to student: __________________Emergency Phone Number: _________________
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Name of Student: Print _________________________________Signature ________________________________
Medical Insurance Information
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You are required to provide proof of medical insurance coverage. Complete the information below and attach/ email a copy of a valid insurance card with application. Insurance company: ____________________________________________________________________________ Address: _______________________________________________ City: __________________ State: ______ Zip: ________ Phone Number: ( ) ___________
Policy Number: _____________________________________
Policy holder’s name: __________________________ Relationship to Applicant: ___________
Is non-emergency preauthorization for hospitalization or medical treatment necessary: ___ Yes ___ No If yes, please explain:_____________________________________________________
Doctrinal Statement
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*Student must read and acknowledge the doctrinal statement below.
Bible
We believe that the Bible and the Bible alone in its entirety of 66 books is the Word of God. Written by men and inspired by The Holy Spirit and is therefore inerrant in its originals. Because it is the Word of God, we believe that it is authoritative in the lives of all people. (1 Thess. 2:13; 2 Tim. 3:25-17; 2 Pet. 1:20-21; Rev. 22;18-19)
God
We believe that God is a Trinity, Father, Son and Holy Spirit, each an uncreated person, one in essence, equal in power and glory. (Duet. 6:4; Matt. 28:19; Luke 3:22; 1 Cor. 8:6; 2 Cor. 13:14)
Creation
We believe that Christ created the heavens and the earth supernaturally in six literal twenty-four hour days. We believe that the Genesis record should be read in a plain and straightforward manner, believing this book to be an accurate historical account of the Creation, the Fall, early man, and the Flood, the Tower of Babel. (Gen.1; 2:7, Ex. 20:10; John 1:1)
Jesus Christ
We believe that Jesus Christ is fully God and fully man; that He entered this world through the virgin birth; that He lived a sinless life; that He worked miracles; that His death was a vicarious one and that His shed blood made a complete and full payment for sinful man; that He rose bodily from the grave and ascended to the right hand of the Father. ( Jn. 1:1; Phil. 2:6-7; Col. 2:9; Heb. 11:3)
Salvation
We believe that man was created in the image of God but that he fell being tempted by Satan; and that because of his exceedingly sinful condition, regeneration by the Holy Spirit is absolutely necessary for his salvation. We believe that a person is justified by faith alone in Christ alone. (Gen. 1:27; Jer. 17:9; Rom. 3:23; Eph. 2:8-9)
Holy Spirit
We believe that the Holy Spirit is presently indwelling believers and enabling them to live their lives in a way that pleases God and benefits others; that He empowers the Church to fulfill God's will in this world. (Rom 8:11; 1 Cor. 3:16; 1 Thess. 1:5)
Marriage
We believe that marriage is God ordained, the union of one biological male and one biological woman. That God made us all with a gender of either male or female for His glory. (Gen. 2:24; Mark 10;9-11; Gen. 5:2; Mark 10:6)
Church
We believe that the Church, which began on the day of Pentecost, is presently God’s means of reaching the world. Its purpose is to Glorify God through Evangelism and Discipleship. The Church is waiting to be resurrected and united with Jesus Christ. ( Acts 2; Matt. 28:19-20; John 14:61 Thess. 4:17)
Future
We believe that Jesus Christ will personally return in power and glory to reign on this present earth. ( Zech. 14:4-11; Matt. 24:29-31; Rev. 19:11-16, 19)
Heaven and Hell
We believe that both the saved and the unsaved will be raised bodily; that each person will stand before the Lord to give an account to Him; and that those who are saved will be resurrected to eternal blessing and those who are lost will be resurrected to eternal punishment. (Luke 14:14; Jn. 5:28-29; Rev. 20:11-15)
Baptism
We believe Christian baptism is the immersion of a believer in water in the name of the Father, the Son, and the Holy Spirit. It is an act of obedience symbolizing the believer's faith in a crucified, buried, and risen Savior, the believer's death to sin, the burial of the old life, and the resurrection to walk in newness of life in Christ Jesus. (Matt28:19; Romans 6:4)
The Lord’s Supper
The Lord's Supper is a symbolic act of obedience whereby believers in Jesus Christ, through partaking of the bread and the fruit of the vine, memorialize the death of the Redeemer and anticipate His second coming. ( Luke 22:19; 1 Cor. 11:24)
Evangelism and Missions
We believe it is the duty and privilege of every follower of Christ and of every church of the Lord Jesus Christ to endeavor to make disciples of all nations. (Matt. 28:19-20; 1 Pet. 3:15)
Sign Code of Conduct
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Glacier Bible College observes Biblical standards impacting our ethical, moral, and spiritual values. Personal integrity in keeping with Biblical standards is expected of all students. GBC entrusts each student with a sincere responsibility of preserving these standards. Respect for the property, ideas, and rights of other people will be enforced. Each student enrolled in GBC is expected to respect the integrity of others and to live a life exhibiting high moral standards. Hazing, bullying, cheating, and stealing will not be tolerated. We believe in a safe environment to enhance the study of God’s word. We ask that each student uphold Glacier Bible College’s good name and standards at all times, you represent what we are. We hope you will be convicted to honor God in all of your adventures and life ambitions.
GBC prohibits students from possessing or viewing any pornographic material.
GBC prohibits inappropriate sexual behavior as described in the New Testament, including indecent or obscene conduct or expression(video, internet, video games, or printed).
GBC prohibits the use or possession of any kind of weapons, explosives, firearms, and other objects or materials that the Dean of Students judges may be harmful to students’ safety.
GBC prohibits the use of illegal drugs (including alcohol), use of tobacco, gambling, and other conduct not in keeping with the standards and principles of Glacier Bible College.
The College reserves the right to inspect the living quarters of any student residing on college property at any time that its administrative officials or their agents shall deem such inspection to be in the best interest of the College.
I have read the Code of Conduct and the Student Handbook and do agree to abide by these standards as a student at Glacier Bible College.
