Salt Lake Baptist College

Preparing God's People For Ministry     
S.L.B.C. Personal Application Form

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Student's Personal Info For Enrollment:
Full Legal Name:
First Name
Middle Name
Last Name
Address
City
State
Zip
E-mail
Last 4 digits 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:
Date you wish to enter S.L.B.C. (Month)   (Year)
REFERENCES:
Pastor
Address
Phone
Name
Address
Phone
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

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

(801) 964-2888

Copyright (C) 2000-2005 Salt Lake Baptist College
Designed By Dr. Rick Honea

 
Preparing God's People For Ministry