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APPLICATION FOR ADMISSION

I hereby request application to Revelation Message Bible College (RMBC) and/or Jacksonville Theological Seminary (JTS); whereby, I may “study to show myself approved to God, a workman that need not be ashamed.” I submit myself to the Lordship of Jesus Christ, my Lord, and my Savior. I submit this application in the witness of God and in obedience to His call upon my life. I hereby declare I will fulfill His “calling” upon my life, complete all studies as directed by the Lord and representatives of RMBC and/or JTS and enter the harvest fields as a laborer for the GOSPEL MINISTRY of Jesus Christ.

PERSONAL INFORMATION

Please note that you will need to enter a valid e-mail address before your account is activated. The administrator will review your account and if approved you will receive an e-mail at the address you specified.

Full name:: First name; Middle name; Last name

Title:: Last 4 SSN Digits:

Address:: Date Of Birth:

City:: Sex:

State, Zip:: E-mail:

Country:: Home Phone:

: Cell phone:

Upload images

PLEASE ENCLOSE GOVERNMENT IDENTIFICATION (Driver’s License/State ID Card) And RECENT PHOTO.

Upload a image:

Link to an external image:

Referral Information

Enter the name of your facilitator or the person who referred you to this site. If none, leave blank.

Facilitator or Referrer:

Area of Study:

Associate Degrees:
Degrees with the word "Arts" in their nomenclature require a thesis.
Bachelor Degrees:
Theology, Divinity, and Degrees with the word "Arts" in their nomenclature require a thesis.
Master Degrees:
Theology, Divinity, and Degrees with the word "Arts" in their nomenclature require a thesis.
Doctorate Degrees:
All Doctorate Degrees require a Dissertation unless otherwise stated.
Doctorate of Philosophy:
All Philosophy Degrees require a Dissertation.

I Am Applying For:

Desired Degree/Study:

EMPLOYMENT (Start with most recent)

1) Employer:: 2) Employer:

Address:: Address:

City:: City:

State, Zip:: State, Zip:

Position/Type of Work:: Position/Type of Work:

Dates:: Dates:

3) Employer:: 4) Employer:

Address:: Address:

City:: City:

State, Zip:: State, Zip:

Position/Type of Work:: Position/Type of Work:

Dates:: Dates:

EDUCATION INFORMATION

Please list your educational history, starting with the high school attended, then any vocational, college, university, Bible, or seminary studies completed. If You did did not graduate from high school, please list the number of units that you completed.
If you did not graduate from any of the colleges listed, please give the number of quarter/semester hours that you completed from each. Please do not list any educational history that you are unable to provide official documentation for.

Please make sure to list if you currently hold a High School Diploma or GED and the year you received it.

: School Name/City/State; Years Attended; Diploma/Degree/Credits Earned; Area of Study

1)

2)

3)

4)

5)

6)

SEMINAR & CEU HISTORY

Please list any documented Seminars, Workshops, Study Courses, or Continuing Education Programs you may have attended starting with the most recent first, then going back.

: Seminar/Program Name; Dates Attended; Certificate Earned; # of Hours Attended

1)

2)

3)

4)

5)

6)

U.S. MILITARY RECORD

Branch of Service:: Total Years Served:

Position / Duties:: Commision Upon Discharge:

Dates:: Status of Discharge:

CHURCH HISTORY

Please complete the following information listed below regarding your relationship with Jesus Christ, the local church you attend and any positions or responsibilities you may be involved with to support your church (Pastor, Praise and Worship, Teacher, Nursery, Helps, etc.), and any other ministires you may support or be involved with; i.e. missions, evangelism, food banks, etc.

Date you received Jesus Christ as your Lord and Savior:

Have You Been Water Baptized? Yes No If Yes, What Date?

Current Church:: Pastor's Name:

Address:: Years Attending:

Phone:: Responsibilities:

Ministry / Volunteer History

Church/Ministry:: Pastor's Name:

Address:: Years Laboring:

Phone:: Responsibilities:

Church/Ministry:: Pastor's Name:

Address:: Years Laboring:

Phone:: Responsibilities:

ADDITIONAL INFORMATION

Attach any extra document related to your application. PDF, TXT, and DOC documents are accepted.

Please use the notes section to list any additional information.

Attach file

APPLICANT'S STATEMENT

I hereby state that all of the information listed on this application is true and accurate as unto the Lord as my witness. I hereby grant permission to Jacksonville Theological Seminary and/or Revelation Message Bible College to verify all of the information listed above. I further agree to and understand that any and all “Earned” Life Credit Hours, Educational Credit Hours, and Ministry Credit Hours based upon this application are granted at the discretion of Jacksonville Theological Seminary and/or Revelation Message Bible College. I hereby agree and understand that I will complete all course requirements as unto the Lord Jesus Christ, and I will comply with all Seminary and Bible College Policies and Financial Commitments in pursuit of academic excellence in the Word of God. Amen. I hereby further understand that all of the courses and degrees of Jacksonville Theological Seminary and/or Revelation Message Bible College are of an ecclesiastical nature and, whether granted or conferred, are in the restricted area of religion with the special purpose of preparing persons to work in the area of religion - whether Educational, Ministerial, or Counseling - and are NOT designed to be used in general academic circles.

By typing your initials you are submitting an electronic signature in agreement with the above statement.

Evaluation / Registration Fee

When you click the submit button your application will be automatically validated to check that the required fields are filled.
If passing that check you will be redirected to PayPal to pay the non-refundable application fee, $50.00. PayPal accepts Visa, Mastercard, American Express, Discovery, and Personal Check. A PayPal account is not required to submit payments.

Confirmation of registration

To prevent automated registrations the board requires you to enter a confirmation code. The code is displayed in the image you should see below. If you are visually impaired or cannot otherwise read this code please contact the Board Administrator.

Confirmation code:: Enter the code exactly as it appears. All letters are case insensitive.

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