S.L.B.C. Application

Salt Lake Baptist College
	Preparing God's People For Ministry
	*S.L.B.C. Personal Application Form*

Attention: To be enrolled in Salt Lake Baptist College you must be a Baptist and attend a Baptist Church. If you are not a Baptist, then please enroll through our sister site, Salt Lake Bible College.
All Baptist students, after enrolling as a Baptist at this site and submitting their Life Experience forms, will take their courses at Salt Lake Bible College.

Student's Personal Info For Enrollment:

Full Legal Name:

First Name

Middle Name

Last Name

Address

City

State

Zip

E-mail

Last 4 digits ONLY of Social Security #

Mailing Address

Day Phone

Evening Phone

Fax

Cell

D.O.B. (m/d/y)

Sex

(M)(F)

Citizen of the US

Yes No

If no, what country:

Guardian Info:

Legal guardian

Relationship to student

Address

City

State

Zip

Phone

Personal Info

How long have you been saved?

Are you a church member?

Yes No

Do you attend church regularly?

Yes No

Church that you are member of:

Church Address:

Church City:

Church State:

Church Zip:

Church Office Number:

Pastor's Name:

REFERENCES:

Pastor

Address

Phone

Ref. 2 Name

Address

Phone

Ref. 3 Name

Address

Phone

Do you have a S.L.B.C. Catalog?

Yes No

If so, What year?

ACADEMIC INFORMATION:

High School from which you graduated:

Name

Address

City

State

Zip

Phone

Year Graduated

Did you get a G.E.D.?

Yes No

Did you take the ACT?

yes No

Have your scores been sent to S.L.B.C. Yes No

NOTE: Every student applying for enrollment must have their
pastor submit a pastor's recommendation form for them.
Pastor Recommendation form

Spam Control

Please enter "yes" in this box.
Do not enter the quotation marks.
Word is case sensitive.

WARNING!
If you do not fill in this box you will receive an error message. If you do not want all of the information you have already entered on this form to be erased, then do not click the link "Return to the form." Instead click the back arrow and you will be returned to this form wih your information intact.

Salt Lake Baptist College
3769 W. 4700 S
Salt Lake City, Utah 84118

(801) 964-2888

Preparing God's People For Ministry