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Antioch Baptist Bible College, Institute, Seminary & School of Christian Counseling

315 Grassdale Road
Cartersville, Ga. 30120

+ PRELIMINARY APPLICATION FORM +

(1 Sem. Hr. = 1 Tuition Hr. or 1 credit @ $100.00 per hr.)

Title(s) and/or Course Number(s):

will be due,

No. Of Audit Hours Desired:

* Method of Payment:

* Are you an ABBCIS member:

Ad additional Comments, Suggestions, Prayer Request:

* Would you like a follow up:

* Signature:

Thank You for the providing the above information.

Other Personal Informationtiontion

Date of Birth

On dates, if unknown, you can enter a "?" or comment)

When was your first class with ABBCIS:

* Have you experienced "New Birth":

Where?:

When?:

* Have you been baptised:

If so, by what means?:

Name of church you attend:

Address: (If different, Please explain with helpful info)

Educational Background. (Schools, Degrees, Dates)

* Please explain why you are considering Antioch College

You will be able to print the results after submission.

Thank you for filling out the above form and you interest in ABBCIS.
Just click on submit to send the form to us.
You will have a confirmation page to return here to make corrections or submit it on to the school.

The ABBCIS staff.