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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