Covenant Bible College & Seminary

Full Name: *
E-mail Address: *
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Address 2:
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Date of Birth: *
Age: *
Last 4 of SSN: *
Sex: *
Marital Status: *
Are you currently active in ministry? *
Do you hold valid Ministerial Credentials?
Denominational Status:
I am registering in the: *
I will major in: *
I am in agreement with the CBCS Doctrinal Statement: *
Are you a High School Graduate? *
If yes, please have your High School Transcript forwarded to CBCS. *
List all schools you have attended: include name of school, location, dates attended and certificate, diploma or degree earned. *
Have your Official Transcript from each school forwarded to CBCS.
I would like to apply for the LEAP Program: *
Insert your Ministerial/Theological Resume: *
How did you hear about CBCS?
Please tell us why you desire to earn your degree through CBCS. *
I am in agreement with the policies of CBCS. *
I understand that by submitting this application, I will be registered in the Degree Program indicated herein. *
I understand that by submitting this application I will be responsible to pay a one-time, non-refundable Registration fee of $65.00. *
I understand that I am responsible for the payment of my tuition fees either in full, or on a monthly basis. *
I certify that all information presented herein is true and accurate. *
Signature: this constitutes your legal signature *


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