S.L.B.C. Application

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

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

Spam Control

Please enter "yes" in this box.
Do not enter the quotation marks.

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

(801) 964-2888

Preparing God's People For Ministry