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General / Personal
Medical
Education, Work & Church History
References
Essay Questions
Affirmations
is Required
Answer the following questions in your own words. Please note, prolonged inactivity can cause this application to time out. If you need time to consider your answers, please "Save Application & Finish Later".
is Required
First Name
Middle Name
Last Name
Maiden Name
Email Address
Date of Birth
Gender
-- choose one --
Female
Male
Unknown
Citizenship Status
-- choose one --
Non-Resident Alien
Not U.S. Citizen
Resident Alien
U.S. Citizen
Citizenship Country
-- choose one --
UNITED STATES
CANADA
AFGHANISTAN
ALBANIA
ALGERIA
ANDORRA
ANGOLA
ANTIGUA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA
BOTSWANA
BRAZIL
BRUNEI
BULGARIA
BURKINA FASO
BURMA
BURUNDI
CAMBODIA
CAMEROON
CAPE VERDE
CENTRAL AFRICAN REPUBLIC
CEYLON
CHAD
CHILE
CHINA
COLOMBIA
COMOROS
CONGO
COSTA RICA
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
ENGLAND
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FIJI
FINLAND
FRANCE
FRENCH ANTILLES
FRENCH GUIANA
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GREECE
GRENADA
GUADELOUPE
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
II
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
IVORY COAST
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA
KUWAIT
KYRGZSTAN
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MEXICO
MICRONESIA
MOLDOVA
MONACO
MONGOLIA
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NORTH KOREA
NORTHERN IRELAND
NORWAY
OMAN
PAKISTAN
PALAU
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
PRINCIPE
QATAR
REPUBLIC OF CHINA
ROMANIA
RUSSIA
RWANDA
SAN MARINO
SAO TOME
SAUDI ARABIA
SCOTLAND
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEON
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH KOREA
SOUTH-WEST AFRICA
SPAIN
SRI LANKA
ST. KITTS
ST. LUCIA
ST. NEVIS
ST. VINCENT
SUDAN
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKSTAN
TANZANIA
THAILAND
THE GRENADINES
TOBAGO
TOGO
TONGA
TRINIDAD
TUNISIA
TURKEY
TURKMENISTAN
TUVALU
UAE
UGANDA
UKRAINE
UNITED KINGDOM
UPPER VOLTA
URUGUAY
UZBEKISTAN
VANUATU
VATICAN CITY
VENEZUELA
VIETNAM
WALES
WEST AFRICA
WEST INDIES
WESTERN SAMOA
YEMEN
ZAIRE
ZAMBIA
ZIMBABWE
Marital Status
-- choose one --
Clergy
Divorced/Seperated
Married
Single
Unknown
Widowed
is Required
Contact Information
Address Line 1
Address Line 2
City
State
-- choose one --
ALABAMA
ALASKA
AMERICAN EMBASSY
AMERICAN SAMOA
ARIZONA
ARKANSAS
ARMED FORCES THE PACIFIC
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINA
WISCONSIN
WYOMING
Zip Code
Home Phone #
Ext:
Cell Phone #
Ext:
Work #
Ext:
is Required
Emergency Contact
By signing the below, hereby state that on the date indicated, I do grant full and complete permission to Kenneth Copeland Bible College, its employees or designate, or any related or consulting physician to render or give emergency medical aid, care, treatment, or assistance that could or would be deemed required or necessary. I also state that should hospitalization be required, I grant full and complete permission for such care and treatment. This consent I give freely, fully knowing and understanding all the above and its relation to and effect upon me.
Relationship
-- choose one --
Child
Extended Family
Friend
Host Family
Other
Parent/Guardian
Spouse
First Name
Last Name
General Information
Phone #
Ext:
Please click the links below to read each affirmation. Then check each box stating your agreement to each.
Honorable Life Covenant
Standards of Conduct
Statement of Faith
Dress Code
Student Financial Agreement
Active Member of Eagle Mountain International Church
is Required
High School Attended
We are excited God is leading you to attend Kenneth Copeland Bible College. Before filling out your application, here are a couple of items you need to know:
• Your session will timeout after 2 hours - if more time is needed, please click "Save and Finish Later" at the bottom of the screen.
• A $100 application fee is required. After submitting your application, you'll be directed through the payment process.
• You will be asked to provide the names and contact information for a pastoral recommendation and two personal recommendations. Please have this information ready before you begin the application process.
• You will be responsible for downloading and distributing the recommendation forms to your provided references. The download link will be provided in your application confirmation email.
Anticipated Starting Year
-- choose one --
Fall 2020
is Required
How did you hear about KCBC?
Date of Marriage
Check this box if you have been convicted of a misdemeanor / felony criminal offense
I have been convicted of a misdemeanor / felony criminal offense
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Please check the box if you are presently under the care of a physician
I am presently under the care of a physician
If you checked the box above, please explain
Please type your full name and date if you consent to the above statement
Highest Level of Education Completed
Please check the box if you can read, write, and comprehend the English language
I can read, write, and comprehend the English language
How do you plan to finance your education at KCBC?
Please indicate your agreement by checking the boxes:
Honorable Life Covenant
Standards of Conduct
Statement of Faith
Dress Code
Student Financial Agreement
Active Member of Eagle Mountain International Church
Dependent 1 Name
Dependent 1 Age
Dependent 1 Relationship
Dependent 2 Name
Dependent 2 Age
Dependent 2 Relationship
Dependent 3 Name
Dependent 3 Age
Dependent 3 Relationship
(Please note we are not able to accept international students at this time)
School 1 Name
Current Employer
Current Position
Current Employment Start Date
Current Employer End Date
Past Employer 1 Name
Past Employment 1 Position
Past Employment 1 Start Date
Past Employment 1 End Date
Past Employer 2 Name
Past Employment 2 Position
Past Employment 2 Start Date
Past Employment 2 End Date
Work History
School 1 Start Date
School 1 End Date
School 1 Degree Aquired
Education History
School 2 Name
School 2 Start Date
School 2 End Date
School 2 Degree Acquired
School 3 Name
School 3 Start Date
School 3 End Date
School 3 Degree Acquired
Date of Completion
Starting after high school, list the educational institutions you've attended:
Starting with your PRESENT employer, list your past work experience:
Church History
Current Church Name
Address Line 1
Address Line 2
City
State
Zip Code
How long have you attended this church? (Years / Months)
Do you attend church regularly?
-- select one --
Yes
No
Are you a member of your current church?
-- select one --
Yes
No
Are you a tither?
-- select one --
Yes
No
If you have attended your present church less than a year, please list the previous church(es) you've attended:
Previous Church 1 Name
Previous Pastor's Name
Church Past 1 Start
Church Past 1 End
Church Past 2 Name
Church Past 2 Pastor's Name
Church Past 2 Start
Church Past 2 End
Church Past 3 Name
Church Past 3 Pastor's Name
Church Past 3 Start
Church Past 3 End
Church Licensed or Ordained
-- select one --
Licensed
Ordained
Church Denomination / Organization
Current Pastor's Name
Why do you want to attend Kenneth Copeland Bible College?
Write a brief testimony of your Christian experience, including details of your salvation, and any other significant events that have contributed to your Christian growth including water baptism?
Have you received the baptism of the Holy Spirit with the evidence of speaking in tongues? If yes, please briefly describe what this has meant to your Christian growth?
Do you have any dependents you will be responsible for? If so, please list them below.
By submitting this application, I certify that I have truthfully and accurately answered all questions contained in this application. I understand that falsification of any kind is grounds for refusal of my application or expulsion should falsehood be discovered after acceptance into the academic program.
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