Apply Online Personal Info Autobiography Family Church Education Experience Medical Submission Name Personal Information Term for which you are applying: * Fall 2019 Fall 2020 There is no Spring enrollment. First Name * Middle Name * Last Name * Date of Birth * (MM/DD/YYYY) Year of Graduation * Gender * Male Female Marital Status * Single Married Separated/Divorced Mailing Address * Street or PO Box City/State/ZIP * Contact Number * Home/Mobile Alternate Contact Number Email Address * Do you have a passport? * Yes No Please note, accepted students WILL need a passport for international travel during Spring semester. How did you hear about BICS? Brief account What is influencing you to apply to BICS? Brief account Please list any BICS alumni or other students who may have influenced your decision to apply. Brief account To which other schools have you or will you apply? List Biographical Information Have you received Jesus as your personal Lord and Savior? * Yes No Have you been baptized? * Yes No Autobiography Please submit an autobiographical essay of 400-500 words, being sure to include the following: 1) your testimony (how you came to faith in Christ), and 2) why you want to attend BICS. We highly recommend typing your essay in a separate document and pasting it here so that you have a copy of your work. Type or paste your essay here: * Family Father's Full Name Father's Address Street/City/State/Zip Father's Phone Father's Occupation Mother's Full Name Mother's Address (If different from Father) Street/City/State/Zip Mother's Phone Mother's Occupation Are any of your family members alumni of BICS? * Yes No Church What is the name of your Church? * Church Address * Street City State Zip Denominational Affiliation Pastor's Name * Pastor's Phone * Education List all High Schools attended * Name City State Graduation Date * Have you been home educated? * Yes No Diploma received from? * School name Have you attended college or received any college credits? * Yes No Experience List school activities, honors, offices held, etc. * List Christian services and activities. * List hobbies and interests. * List employment experience, if any. * Include nature and dates If you graduated from High School more than 3 months ago, what have you been doing until now? What are your vocational goals? * Have you ever been convicted of a crime, been on academic probation/suspension, or been on disciplinary probation/suspension? * Yes No Medical Please Note: This is a Preliminary Medical Questionnaire required of all BICS students. The information is this portion of the application will not be used to determine eligibility/acceptance and will be kept confidential. How would you rate your overall health? (1 is poor; 5 is outstanding) * 1 2 3 4 5 How would you rate your exercise habits? (1 is poor; 5 is outstanding) * 1 2 3 4 5 How would you rate your eating habits? (1 is poor; 5 is outstanding) * 1 2 3 4 5 Do you have any allergies? * Yes No Do you have/have you had any of the following? * Surgical Procedure Major Illness Physical Handicap Nervous/Emotional Condition Any other condition that could affect your college experience NONE OF THE ABOVE Check all that apply Are you able to travel abroad? * Yes No Are you taking any prescription medication? * Yes No Have you ever used tobacco, alcohol, or illegal drugs? * Yes No Submission Once you submit your application below you'll be directed to a checklist of additional steps to follow to complete the application process. You can also find more information here. Final Submission Is all of the information contained in this application accurate to the best of your knowledge? * Yes No Full Name and Date * This acts as your signature acknowledging submission of this application. Non-Discrimination Policy In keeping with biblical ethics, BICS is committed to the policy of nondiscrimination on the basis of race, color, national or ethnic origin, sex, age, or physical handicap. This policy pertains to application and selection for admission as well as for employment and all other personnel actions. This is in compliance with Title VII, Civil Rights Act of 1964; Title IX, Education Amendments of 1972, and Section 504, Rehabilitation Act of 1973 and regulations promulgated thereunder, 34 C.F.R. Part 100 (Title VI), Part 106A (Title IX), and Part 104 (Section 504).