Online Application Form | Bethel Leadership Institute

Name *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country *

Phone Number *

Date Of Birth *

City And Country Of Birth *

Nationality *

Email *

Email

Confirm Email

Are You Born Again? *

Yes
No

Marital Status: Please Choose One *

Gender *

Male
Female

College Or Specialized Training *

Yes
No

Graduated/GED *

Yes
No

Educational Background: Name Of High School *

If Not A Graduate, Show Highest Year Completed: *

9
10
11
12

List College(s) And Type(s) Of Degree(s) Presently Held With Dates *

Attach Copies Of Your Diploma/degree Certificates

File Upload *

How Long Have You Been A Christian? *

Have You Been Baptized By Immersion? *

Yes
No

What Type Of Ministry Are You Presently Involved In? (Be Specific) *

What Are Your Ministry Goals? *

Name Of Your Present Church *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country *

Your Pastor's Name *

Your Pastor's Email Address *

Pastor's Recommendation Form shall be sent to him through this email.

Are You A Licensed Or An Ordained Minister? *

Yes
No

If Yes To Any Of The Above Please Explain *

To Which Program Are You Seeking Admission? *

Do You Qualify For Advanced Standing Status? If Yes Attach A Christian Resume *

Yes
No

File Upload *

Attach Your Christian Resume

File Upload *

Attach Passport Photo

Expected Graduation Date *

Have You Ever Been: (Please Tick One) *

How And Where Did You Hear About Bethel Christian University? *

Have You Ever Studied By Correspondence Or Distance Learning Program? *

Yes
No

If Yes, Give The Name Of The School * *

Health Status *

We shall keep you up in our prayers

Have You Ever Been Involved In The Occult? *

Yes
No

If Yes Please Explain? *

Have You Ever Been Treated For Emotional/mental Condition? *

Yes
No

If Yes Please Explain *

Do You Presently Smoke, Use Narcotic Drugs, Alcohol, Or Participate In Child Molestation, Etc *

Yes
No

If Yes Please Explain *

Write A Brief History Of Your Conversion And Call *

Terms and Conditions *

(A) I understand that $50.00 Non-Refundable Application fee MUST be sent with this application form. (B) I hereby attest that all information provided on this application form is true and correct to the best of my knowledge. (C) And also understand and agree to the terms and Conditions of the Institute's Privacy Policy.

Declaration (Print Your Name below) *

I Hereby Declare That, I Will Obey The Rules And Regulations Of The Institute And Agreed To Be Bound By The Conditions Of Enrollment Set Out Above. I Understand That No Certificate/Diploma Is Awarded Until Tuition Fees Are Paid In Full, And All Other Academic Requirements Are Met. I Understand That BLI Reserves The Right To Deny Or Revoke The Admission Of Any Candidate Whose Behavior Or Lifestyle Is Inconsistent With Biblical Principles Or With The Institute’s Standard Code Of Conducts In The Ministry

Electronic Signature *

Print Your Name in the box

Date / Time *

Date

Time