Application for Admission

General Information
Name*
First Middle Last Suffix
Email*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Alternate Phone
Date of Birth
MM
DD
YYYY
Level of Study*
Program of Study*
Marital Status*
- Single
- Married
- Divorced
- Other
Name of Spouse
Number of Children
Have you ever been convicted for the violation of any Federal, State, County, or Municipality law? (Excluding minor traffic violations)*
- Yes
- No
If you answered yes to the last question, please give full details in the box below.
Ethnic Origin (Required by Civil Rights Act)*
- Caucasian
- Black
- Hispanic
- American Indian / Alaskan Native
- Asian Pacific Islander
- Korean
- Other
If other, please specify.*
Citizenship
Place of Birth*
Are you a citizen of the United States of America?*
- Yes
- No
If NO, of what country are you a citizen?*
Are you a permanent U.S. resident?*
- Yes
- No
If YES, do you have a green card?
- Yes
- No
Educational Information
Name of High School*
Graduation Date
MM
DD
YYYY
If not graduated, have you obtained a G.E.D.?
- Yes
- No
If yes, when?
MM
DD
YYYY
List all colleges attended in chronological order (most recent first):

College #1:
Name of Institution
Institution Location
City State / Province / Region Country
Date attended from
MM
DD
YYYY
Date attended to
MM
DD
YYYY
Degree(s) received
Credits earned
College #2:
Name of Institution
Institution Location
City State / Province / Region Country
Date attended from
MM
DD
YYYY
Date attended to
MM
DD
YYYY
Degree(s) received
Credits earned
College #3:
Name of Institution
Institution Location
City State / Province / Region Country
Date attended from
MM
DD
YYYY
Date attended to
MM
DD
YYYY
Degree(s) received
Credits earned
Are you currently enrolled in the last institution attended?
- Yes
- No
If yes, what will be your last date of attendance?
MM
DD
YYYY
Are you eligible for readmission to that institution?
- Yes
- No
If no, are reasons:
- Academic?
- Disciplinary?
- Other?
Please explain.
Military Service
Are you now serving or have you served in the armed forces of the U.S.?
- Yes
- No
In which branch of the armed forces did you serve?
What were your years of service?
Background Information
Present Occupation
How long?
Employer
Employer's Address
Name of Your Local Church
Church Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Church Phone
Pastor's Name
Are you a minister?*
- Yes
- No
Licensed?*
- Yes
- No
Ordained?*
- Yes
- No
How long have you been in FULL-Time Service?
What denomination do you classify yourself as being?
Character References
#1 - Name*
Phone*
#2 - Name*
Phone*
Create Account
Login Username*
Enter the username that you would like to use for logging into the BCA website.
BCA Policies
1. Baptist College of America is a local church ministry (Ecclesiastical Corporation) of Temple Baptist Church of Kokomo, Indiana. The sole purpose of Baptist College of America is to train Christians to serve in the ministries of local New Testament churches of like faith and practice.
  Baptist College of America is not licensed or approved by the state of Indiana and does not guarantee that any of its degrees or credits will be recognized by any other institution. Baptist College of America is not accredited by any person, organization, or government agency. While Baptist College of America is not accredited, the course of instruction and the individual classes are widely accepted by fundamental colleges and mission boards as college-level work.
2. The $40 Application fee and the $50 Registration fee are non-refundable. The signing of this application is considered signing a contract with BCA. Fifteen days after receiving the study guide materials the student is liable for the entire amount of the program into which he or she enrolls.
*
- I understand that my signature on this application will constitute a contract with the college concerning my financial liability and my understanding of the policies listed on this page.
Electronic Signature*
Date*
MM
DD
YYYY
Application Fee

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General Information

Citizenship

Educational Information

List all colleges attended in chronological order (most recent first):

College #1:

College #2:

College #3:

Military Service

Background Information

Character References

Create Account

BCA Policies

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