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About
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Giving

About
Academics
Locations
Admissions
Contact
Giving

Application Bible Certificate

Name *

First

Middle

Last

Gender *

Male
Female

Mailing Address *

Email 1 *

Place of Birth *

Age *

Marital Status *

Single
Engaged
Married
Separated
Divorced
Remarried

Name of Spouse

First

Last

Are you employed? *

Yes
No

Type of Employment

Are you a born again Christian? *

Yes
No

Is your spouse a born again Christian?

Yes
No

Are you a church member? *

Yes
No

Which denomination? *

Name of Local Church *

In what kinds of Christian Service have you been involved? *

Have you ever been convicted of a crime? *

Yes
No

Please explain the crime

Have you ever used illegal drugs? *

Yes
No

Please explain about the use of drugs

Schools Attended *

Degree(s) Received* *

Schools Attended 2

Degree(s) Received 2

Schools Attended 3

Degree(s) Received 3

Have you ever been dismissed from or asked to leave any school? *

Yes
No

Please explain why you were dismissed

Pastoral Reference Name *

First

Last

Pastoral Reference Email *

Pastoral Reference Church *

Pastoral Reference Denomination *

Signature *

307 Holt Street
Lexington, NC 27292

P: 336-926-0541

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National Theological College and Graduate School was established to train both men and women for effective Christian service. Applicants for admission will be considered without regard to race, color, gender, national or ethnic origin, religion, age, or disability.