To the applicant:

1. Please attach a CURRENT photo. Head and shoulders only.
2. Enclose the non-refundable application fee.
3. All letters of recommendation must be received by the Admission’s office before your application can be processed.
4. Please type or print clearly answering all questions.

1. Name:_________________________________________________

Last First Middle Maiden

Present Address:_______________________________________________________

Street and Number City or Town State Zip

Present Phone Number (____)_____________Social Security No._____/_____/_____

Date of Birth_____/_____/_____ Age_________ Sex: M F

Mo. Day Year

2. Are you a United States Citizen?___________ If no, what country?_____________

3. Marital Status: Single 0 Married 0 Divorced 0

Widowed 0 Separated 0 Remarried 0

4. Dependent Information:

Name Age Sex Date of Birth

____________________________________________________________

____________________________________________________________

____________________________________________________________

Last use them?____________ Do you currently use any now?__________

6.  Are you in debt?___________ How much?_________________________

8.  Do you have a high school diploma?_________ If yes, when?___________

9.  Have you ever been expelled or suspended?_______ If yes, why?
____________________________________________________________

10. Please list any advanced degrees earned or higher learning institutions attended.

________________________________________________________

11. Your general health is: Excellent 0 Good 0 Fair 0 Poor 0

12. State previous employment history:_______________________________

____________________________________________________________

____________________________________________________________

13. Name of Church currently attending:_______________________________
14. When were you born-again?_____________ Have you been baptized in the

Holy Spirit?___________ Briefly describe your experience. ___________

____________________________________________________________

15. How long do you plan on attending here?___________________________
16. What term are you planning to begin?______________________________
17. What type of ministry do you feel God is calling you into and why?______
    ____________________________________________________________
18. What type of church involvement have you participated in?_____________
    ____________________________________________________________
19. On a separate sheet of paper describe: (a) Your regular prayer and bible study habits and; (b) Why you feel the Lord is leading you to The "King’s" College.

20. Please give us the names and addresses of those individuals who will be

filling out your recommendation forms. Remember, your application can not

be processed until these are received.

Minister’s Recommendation:

_______________________________________

Name of Minister & Church

_______________________________________

Address

___(____)________________________________

Personal Recommendation:

_________________________________ _________________________________

Name Name

_________________________________ _________________________________

Address Address

___(____)________________________ ___(____)________________________

Area Code & Phone Number Area Code & Phone Number

I hereby certify that the information given on this application is, to the best of my knowledge,

true and accurate. I understand that any false statement made on this application is automatic

grounds for rejection or dismissal from The "King’s" College.

Signature_______________________________ Date___________________

["King's" College]