JAMESON CHRISTIAN COLLEGE
JAMESON CHRISTIAN COLLEGE
P.O. Box 0086 Local Address: P.O. Box 737
Luquillo, Puerto Rico 00773 Drexel Hill, PA 19026
APPLICATION FOR ADMISSION
Please type or
Print your answer to every question carefully and candidly.
PERSONAL DATA Date_______________
Full Name______________________________Phone number_(___)__________
Street____________________________________ E-Mail Address:________________
City______________________ State______________Zipcode______________
Date of Birth_________________ Place of Birth_______________________
Height___________Weight___________Color of hair_______Color of eyes_______
Sex: M( ) F( ) Country of citizenship____________________________________
Marital Status: Single( ) Married ( ) Widow(er) ( ) Seperated ( ) Divorced ( ) Divorced and remarried ( ) If married: Date married__________
Was your spouse divorced before you married?____________
Number and ages of children__________________________________________
Full name of spouse_____________________Maiden name_________________
Social Security Number_______________ Military Status________________
FAMILY DATA
Father’s name______________________His occupation__________________
Mother’s name_____________________Her occupation__________________
Guardian’s name (if other than parent’s)________________________________
ADMISSIONS FILE DATA
References: List clearly names and complete mailing addresses of three references.
1. Pastor__________________________________________________________
2. Christian Leader__________________________________________________
3. Christian Leader__________________________________________________
CHRISTIAN EXPERIENCE AND OBJECTIVES
When and where were you converted?___________________________________
What church do you attend?__________________________Are you a member?_____
Address_________________________________Denomination__________________
What vocal or instrumental talent have you developed?_________________________
If accepted, will you with the help of the Lord, sincerely endeavor to abide by all regulations of the College and submit yourself to those in authority?___________
SCHOLASTIC AND VOCATIONAL DATA
Last High School attended___________________Address____________________
Did you graduate?____When?_____If not, what was the last grade level you completed?
Below 9th grade( ) 9th grade( ) 10th grade( ) 11th grade( ) If still attending high school, give expected date of graduation___________
List below all colleges (or other post-highschool institutions) attended:
NAME LOCATION DATES ATTENDED COURSE DEGREE
*___________________________________________________________________
*___________________________________________________________________
*___________________________________________________________________
*___________________________________________________________________
Have you ever been dismissed from school?_____If so, explain on separate sheet of paper.
Do you have a hobby?__________________________________________________
Give the name and address of your most recent employer_______________________
*____________________________________________________________________
What vocational experience have you had?___________________________________
*____________________________________________________________________
LIFE EXPERIENCE PROFILE
This section of the application for admission is designed to identify those life experiences that might qualify for academic credit in the applicant’s respective college program.
PREVIOUS BIBLE, RELIGION, THEOLOGY COURSES COMPLETED
BOOKS READ
CHRISTIAN SERVICE (Amount of time as Pastor, Evangelist, Missionary, Teacher,
Gospel Worker, etc.)
ADDITIONAL AREAS OF STUDY AND/OR SERVICE
APPLICANT’S PROGRAM PREFERENCE
Degree program applied for (2010)______________________________
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