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 Enrollment and Admission 

              Capitol City Baptist Bible Institute & College 
Application for Admission

1. Name: Title Last*First* Middle  
2.

Street Address: * Phone:

  City: * State: * Zip: * Country:
3. Age: Birth: M D Y

        
4. Marital Status: Married     Single     Divorced     Widowed
5. Are you a high school graduate? Yes     No     
If yes, what high school:  
School Address, City, State, Zip:
If not, how far did you go in your education?
Why did you not finish?
List Chronologically all colleges/school beyond high school that you have attended:
6. Do you have any health conditions which require special attention: Yes     No
If Yes, please explain:
7. Have you had or are you receiving counseling for mental or emotional difficulties? Yes  No
If Yes, please explain:
8. If a veteran, indicate length of service: From to  
Branch
9. Did you receive your honorable discharge: Yes     No If you have not been separated from your service, state your expected release date:
10. Are you now, or have you ever been under the supervision of a parole officer or under the custody of a court: Yes   No   Do you have a police record: Yes    No
11. Are you in accord with the doctrines for which this college stands: Yes     No
If not, please explain:
12. Have you accepted Christ as your Savior: Yes     No  When
Please give a short testimony of your salvation and/or call to Christian Service:
13. Do you attend a local church: Yes     No  Regularly attended:  Yes     No  
Church name:
   
  Date:      Print Name:
Applicant's signature if printing off this form: __________________________________


or

If you prefer to print this form out and mail it to us, please send to the address on the bottom of this page

 Enrollment and Admission     Cost of Enrollment    Payments    Contact Us


Cost of Enrollment

     Each SH has a cost of $15.00 plus text book and or any additional course fees. There is a $60.00 registration fee and $50.00 graduation fee. All fees must be paid prior to graduation.

     Credit can be given for life experience at a cost of $5.00 per equivalent SH awarded. If you desire to receive credit for life experience a detailed paper on related experiences must be submitted with application as well as registration fee and first 3 SH fee of $45.00. Total amount needed to start is $105.00.  Average cost per semester is $240.00 plus test books and additiona fees for specific courses.

  Enrollment and Admission     Cost of Enrollment    Payments    Contact Us


Payments

Payments can be made by using PayPal: (as soon as we get it functioning properly), or by sending a money order or personal check to: 

Capitol City Baptist Bible Institute & College
5100 Willoughby Road, Holt, MI 48842 USA

Whichever method you choose, we must wait until the cash is deposited: PayPal is immediate, money orders depend on the speed of the U.S. Post Office, and checks need to be clear the banks involved before we order books or provide services, often running up to 14 days after we deposit your check.    

  Enrollment and Admission     Cost of Enrollment    Payments    Contact Us


Contact Us:
Capitol City Baptist Bible Institute & College
5100 Willoughby Road, Holt, MI 48842 USA capitolcitybaptist@modempool.com 
 Office Phone: (517) 694-1216 Fax (517) 694-3344
     extension # 10 for Miss Kimberly Robertson, Registrar 
     extension # 12 for Dr. Daryl L. Franzel, Administrator
Mr. Art Miller, Dean of Education: Cell: (517) 712-3785 homeschool@modempool.com
Mrs. Carol Miller, Dean of Women

Dr. Franzel

 Mr. Miller Mrs. Miller
 
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Page last modified: February 28, 2008