Kauai Bible College

*First Name:

*Last Name:

Middle Name:

Date of Birth:
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Age When Attending:
Please give us the age you will be when you start your Bible College semester here in Kauai.

Gender: Male Female

Street Address:

Street Address Continued:

City:

State:

Zip Code or Postal Code:

Country:

Home Phone:

Cell Phone:

*Email Address:

Citizenship:

Place of Birth:

Semester of Entry: Fall 2009 Spring 2010 Fall 2010 Spring 2011
What semester do you intend to begin attending Kauai Bible College?

Student Housing On Campus Off Campus
Are you applying to live on or off campus?

Current Home Church?
What church do you activily attend?

Current Pastor:
Who would you consider as your pastor?

Marrital Status: Single Engaged Married Divorced

What is your spouses Name:

Number of Children:

Schools attended since highschool:
This list can include the highschool you graduated from as well as any other colleges you attended.

Was your GPA above 2.0 last semester:No choices
Choices was empty

*Have you had a disciplinary problems at a CCBC campuses:

Please list the preachers/teacher who have most influenced your life:

How did you hear about Kauai Bible College Calvary Chapel Bible College Murrieta A CCBC Extension Campus A Former Student Google Facebook Twitter A Ministry Leader

Will you abide by the Student Guidlines while enrolled at KBC? Yes No

Have you answered all the questions above truthfully? Yes No

*Required