1. education
2. graduate school
3. college

GOLDEN GRAIN BIBLE COLLEGE AND SEMINARY - OXNARD CAMPUS
GOLDEN GRAIN SCHOOL OF MINISTRY
Mailing Address: 301 Bernoulli Circle, Oxnard, CA 93030
(805) 390-7283
Email: [email protected]
Website: www.PacificCoastMinistries.com
APPLICATION FOR ADMISSION
New Student Application Fee $35.00
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Freshman
Transfer
Reapplicant
Correspondence
Foreign
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Associates of Theology
Bachelor of Theology
Master of Theology
Doctor of Theology
Recent Photo
Golden Grain Bible College & Seminary does not
discriminate in its admission policies on the basis
of race, color or national origin.
I. PERSONAL DATA
Full Legal Name
[ ] Miss
[ ] Mrs.
[ ] Mr.
[ ] Rev.
[ ] Dr.
_________________________________________________________________________________
Last
First
Middle
Maiden Name
Address _________________________________________________________________________
City __________________________________ State _____________ Zip Code _______________
Country _______________________________ Telephone (____) ___________________________
Email: ____________________________
Birthdate _____/____/____
Social Security Number ________-_____-__________
Age ______
Birthplace _________________________
State/Country
Country of Citizenship ___________________________ Non-USA:
Marital Status [ ] Single
[ ] Engaged
[ ] Widowed [ ] Remarried
[ ] Married
Visa Type _____________
Expiration _____________
[ ] Separated
[ ] Divorced
Spouse’s Name ____________________________________ Number of Children ______________
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GOLDEN GRAIN BIBLE COLLEGE & SEMINARY
APPLICATION FOR ADMISSION
If married or engaged: After you have prayed with and talked at length with your spouse/fiancée
concerning coming to GGBC&S, please have your spouse/fiancée complete this statement.
[ ] I do
[ ] I do not
believe my spouse/fiancée should attend GGBC&S
because _________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Date ___________________
______________________________________
Signature of spouse/fiancée
GENERAL HEALTH
[ ] Excellent
[ ] Fair
[ ] Poor
If you have any
physical disability, indicate the nature of the disability and any special assistance you require.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
IF SINGLE OR UNDER AGE 21:
Father’s name (or Guardian) __________________________________________________
Address __________________________________________________________________
City __________________________________ State ___________
Zip____________
Mother’s name _____________________________________________________________
Address __________________________________________________________________
City __________________________________ State ___________
Are your parents Christian?
Father [ ] Yes
[ ] No
Are your parents in accord with your plans to enroll at GGBC&S?
Zip____________
Mother [ ] Yes [ ] No
[ ] Yes
[ ] No
ARMED FORCES:
Have you served in the armed forces of any nation? [ ] Yes [ ] No
Country for which you served _________________________________
Do you intend to use Veteran’s Educational Benefits while attending GGBC&S? [ ]Yes [ ]No
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GOLDEN GRAIN BIBLE COLLEGE & SEMINARY
II.
APPLICATION FOR ADMISSION
SPIRITUAL INFORMATION
When were you converted?_____________________ Where? __________________
How long have you walked consistently with the Lord? _________ mos. / yrs.
When were you baptized in water? _____________________________________________
What church do you attend? ___________________________________________________
Denomination ______________________________________________________________
Church Address _____________________________________________________________
City _________________________ State ________ Zip _________ Country ___________
How long have you regularly attended this church? ___________________ mos. / yrs.
Give the full name of your pastor or another minister on the staff of your church who knows
you well and to whom you can give a Reference Form.
Name __________________________________ Position in church ___________________
Address __________________________________________________________________
City _________________________ State ________ Zip _________ Country ___________
How long have you known this person? __________________ mos. / yrs.
III.
CHRISTIAN SERVICE
What kinds of Christian ministry have you been involved in during the past 5 years?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Toward what kind of Christian ministry do you feel directed after completing your studies at
GGBC&S? _________________________________________________________________
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GOLDEN GRAIN BIBLE COLLEGE & SEMINARY
IV.
APPLICATION FOR ADMISSION
EDUCATION INFORMATION
Name and Location of High School: _____________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Year Graduated and Diploma Received: ___________
Please Listed All Colleges Attended and/or Graduated From and Degree(s) received:
Name and Location of College: _________________________________________________
Year(s) Attended ____________________ Year of Graduation______________
Degree Received___________________________________
Name and Location of College: _________________________________________________
Year(s) Attended ____________________ Year of Graduation______________
Degree Received___________________________________
Name and Location of College: _________________________________________________
Year(s) Attended ____________________ Year of Graduation______________
Degree Received___________________________________
Name and Location of College: _________________________________________________
Year(s) Attended ____________________ Year of Graduation______________
Degree Received___________________________________
Please provide official transcripts from all colleges.
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GOLDEN GRAIN BIBLE COLLEGE & SEMINARY
V.
APPLICATION FOR ADMISSION
EMPLOYMENT AND REFERENCES
Name of most recent employer _________________________________________________
Address ___________________________________________________________________
City ___________________________________ State ____________ Zip _______________
Telephone (____)______________
Type of work _______________________________
Give three personal references:
Name _____________________________________________________________________
Address ___________________________________________________________________
City ___________________________________ State ____________ Zip _______________
Telephone (____)______________
Name _____________________________________________________________________
Address ___________________________________________________________________
City ___________________________________ State ____________ Zip _______________
Telephone (____)______________
Name _____________________________________________________________________
Address ___________________________________________________________________
City ___________________________________ State ____________ Zip _______________
Telephone (____)______________
By signing and submitting this application I hereby declare that the information contained within this
application is true and correct to the best of my knowledge. I understand that if I am accepted, Golden
Grain Bible College & Seminary expects me to abide by the school’s standards and Biblical principles
and apply them as a way of life.
Date: __________________
Signature:______________________________________
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GOLDEN GRAIN BIBLE COLLEGE & SEMINARY
APPLICATION FOR ADMISSION
GOLDEN GRAIN BIBLE COLLEGE & SEMINARY-OXNARD CAMPUS
301 BERNOULLI CIRCLE
OXNARD, CA 93030
RECOMMENDATION BY PASTOR / MINISTER
I hereby recommend____________________________________ for admission to Golden
Grain Bible College & Seminary – Oxnard Campus.
1. Statement of my personal knowledge of applicant’s spiritual life:
2.
How long have you known the applicant?
3.
Please describe the applicant’s following qualities:
Character
Commitment
Honesty
Reliability
Personable
4.
Excellent [
Excellent [
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Excellent [
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Good [
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Growing [
Growing [
Growing [
Growing [
Growing [
________Years
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Fair [
Fair [
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________Months
Needs Improvement [
Needs Improvement [
Needs Improvement [
Needs Improvement [
Needs Improvement [
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Does this applicant have a proven ministry
__________________________________________
Signature
Please print name: __________________________
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________________________
Date