Name: 

Home Phone:    Work Phone:

E-Mail Address:

Address:

City: State: Zip Code:

Date of Birth (MM/DD/YYYY):   

Place of Birth:

When were you baptized? (MM/DD/YYYY):

Where?  

By Whom?

Educational level reached?

Name of schools of higher learning attended:

Degrees obtained, if any:

Have you ever had to withdraw or been expelled from any school or college? If yes, please explain:

Where were you employed for the last three years? Please include present job and description:

Marital Status:     Single     Married    
                           Divorced     Divorced and Remarried

If divorced and/or remarried, please explain the situation in detail:

How many children do you have?   Please give their names and ages:

Why do you want to attend the Bible Institute of Missouri?

If applicable, what are your wife's feelings about your attending a preacher training school?

What are your feelings, as well as your wife's, about devoting your life to proclaiming the gospel?

What congregation are you now attending?

Would they be willing to help you financially to come to school?
If so, how much?

What experience do you have so far in the work of the church?

Could you handle a preaching appointment if such were available?

Could you lead singing if invited to do so?

Do you use tobacco in any form?   If so, please clarify:

Do you use alcohol?

Do you misuse non-prescription drugs?

Do you have any physical handicaps which might hinder your preaching?   If yes, please explain:

Have you ever served in the military? If so, what is your present status?

What minimum monthly support will you require while in school (be specific)?

Will you have any or some income while in school (explain)?

How much of your support can you supply or raise yourself?

How do you plan to do this?

What type of additional funds will you need to cover these expenses?

Do you have a place to live while in school in Springfield?

Do you need assistance in finding a place to live?

What date would you like to enroll in school? (MM/DD/YYYY)

(If necessary, we are happy to try and assist potential students to raise support. However, it is ultimately the student's responsibility to see that his financial needs are met and organized properly before entering school!)

(With application, please send a photo and at least four letters of recommendation by a variety of individuals who are willing to be contacted to bim@bim-us.org or the above address. Please be sure to include an address and/or phone number for each recommendation in order for us to contact them.)

Signature:

Date application was completed: (MM/DD/YYYY):