App Test

Term for which you are applying: *

Name *

First

Middle

Last

Preferred Name/Nickname *

Date of Birth *//

Gender *

Male
Female

Marital Status *

Single
Married
Separated/Divorced

Year of Graduation *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Alternate Phone Number

Email *

Do you have a passport? *

Please note, accepted students WILL need a passport for international travel during Spring semester.

How did you hear about BICS?

What is influencing you to apply to BICS?

Please list any BICS alumni or other students who may have influenced your decisions to apply.

To which other schools have you or will you apply?

Have you received Jesus as your personal Lord and Savior? *

Have you been baptized? *

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.

My Essay *

Father's Name

First

Last

Father's Address

Address Line 1

Address Line 2

City

State

Zip Code

Father's Phone

Father's Occupation

Mother's Name

First

Last

Is your mother's address different than your father's address?

Mother's Address

Address Line 1

Address Line 2

City

State

Zip Code

Mother's Phone

Mother's Occupation

Are any of your family members alumni of BICS? *

List name(s), relationship to you, and class year of BICS alumni in your family: *

Home Church *

(Full Name)

Denominational Affiliation

Church Address *

Address Line 1

Address Line 2

City

State

Zip Code

Pastor's Name *

First

Last

Pastor's Phone Number *

Have you been home educated? *

If yes, for which years were you home educated? *

High School(s) Attended *

(list all)

Diploma received from: *

Date of High School Graduation *

Have you attended college or received any college credits? *

Colleges Attended / Credits Earned *

Name / Location / Dates / Degrees / Credits

List school activities, honors, offices held, etc. *

List Christian service experiences and activities. *

List hobbies and interests. *

List employment experience, if any. *

Include nature of work 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? *

If yes, please describe. *

Have you ever been on disciplinary probation or faced suspension? *

If yes, please describe. *

Have you ever been on academic probation? *

If yes, please describe. *

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? *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

How would you rate your exercise habits? *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

How would you rate your eating habits? *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Do you have any allergies? *

What are your allergies? (describe severity, reaction, etc.) *

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

Briefly described checked items: *

Are you able to travel abroad? *

If no, describe the reasons. *

Are you taking any prescription medication? *

If yes, please name the medication and directions for use. *

Have you ever used tobacco, alcohol, or illegal drugs? *

If yes, describe what was used, when, and to what extent. *

References & Transcripts

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.

Acknowledgment *

All of the information contained in this application is accurate to the best of my knowledge.

Signature *

First

Middle

Last

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).

Autobiography

Please Note:

References & Transcripts

Non-Discrimination Policy

About Berkshire Institute

Student Information

Quick Links