CAIM INTERNATIONAL BIBLE INSTITUTE
3451 W. 175th Street – Hazel Crest, IL 60429-(708) 922-1229
Application for Enrollment
Please type or print. It is important to complete all information.
Please be professional, neat, and accurate as you complete your application package.
Section One
Part I: Personal
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1. Last Name________________________ First Name_______________________________________ Middle ____
2. Address ___________________________________ (or) P.O. Box_______________________________________
3. City ____________________________________ State__________ (Country)____________Postal Code________
4. Home Phone________________________ Cell __________________________E-mail______________________
5. Date of Birth (mm/dd/yy) ____/____/____ SSN: __________-__________-__________Sex________________
6. Church membership: ___________________________________________________________________________
7. Pastor’s Name ________________________________________Phone___________________________________
8. Pastor’s Address ____________________________________________________________ (or) P.O. Box __________
9. City _______________________________________State_________(Country)_____________Postal Code______
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Part II: Credits
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1. Total years of Christian Service_____ Type(s) of Service__________________
2.Total years of military service _____ Details_________________________
3.Total Classroom hours in attendance at Christian workshops and seminars__________ |
Name of Seminar or Workshop Date Location Completed Y/N
(attach certificate)
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Part III: Education
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Check all that apply: High School Diploma____ GED____ College Degree____ List all colleges, universities, schools, and seminars attended. Include workshops, certificate courses, and other significant formal training. Attach legible copies of diplomas, certificates, transcripts or other verifiable documentation of training. NOTE: Evaluation for credit will be determined based on the information you supply. |
School or College Attended Location Dates Degree/Certificate
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Section Two
Part IV: Application Checklist
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I wish to enroll in the following program (check one). See catalog for prerequisites.
___ Certificate Program ___ Associate Degree ___ Bachelor’s Degree ___ Master’s Degree ___ Doctoral Degree ___
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Certificate Courses: _____Evangelism _____ Prayer Essentials ____ Old Testament Survey ____ New Testament Survey _____ Church History ____ Introduction to Biblical Hermeneutics ____ Introduction to Pastoral Counseling ____ Worship ___ Christian Ethics ____
My area of concentration will be (check one):
Bachelor _____Biblical Studies ____Christian Education ____ Ministry _____Church Finance & Administration _____Christian Counseling Psychology
Master _____Christian Counseling Psychology ___Christian Education ___Church Finance and Administration _____Divinity(Master only) _____Divinity ____ Theology _____Biblical Studies
Doctorate (dissertation required) _____Pastoral Counseling Psychology ___Christian Education ____Biblical Studies _____ _____Church Finance and Administration ______Divinity
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Part V: Payment Information
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1. I have enclosed US$_____$75.00 application and registration fee.
2. I have chosen to pay my tuition in full and enclosed $_______tuition and $______ for textbooks.
3. I would like for $______to be taken from each of my monthly payments and applied to CAIM. for my tuition.
4. I would like to charge my payment option above to my ____Master Card ____Visa
(Credit card #___________________________________Expiration date_________ Security Code_____
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I hereby affirm that the information provided above is true. I authorize CIBI to verify the information
provided on this form. I have also attached my Spiritual Vitae, hereto containing additional background
information.
_______________________________________ _______________________ Signature of applicant Date signed
__________________________________________________________________________ Signature of applicant’s parent or legal guardian (if applicant is under age 18) |
Additional Information
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1. How did you find out about CAIM International Bible Institute? ___________________________________________________
2. Why did you choose CAIM International Bible Institute? _________________________________________________________
3. Suggestions or comments:__________________________________________________________________________
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