Personal Info
Autobiography
Family
Church
Education
Experience
Medical
Submission

Company

Personal Information

Term for which you are applying: *

There is no Spring enrollment.

First Name *

Middle Name *

Last Name *

Date of Birth *

(MM/DD/YYYY)

Year of Graduation *

Gender *

Marital Status *

Mailing Address *

Street or PO Box

City/State/ZIP *

Contact Number *

Home/Mobile

Alternate Contact Number

Email Address *

Do you have a passport? *

Yes

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

Upload Profile Picture *

Please upload a picture for our files.

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

Have you been baptized? *

Yes

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

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

Diploma received from? *

School name

Have you attended college or received any college credits? *

Yes

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

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) *

How would you rate your exercise habits? (1 is poor; 5 is outstanding) *

How would you rate your eating habits? (1 is poor; 5 is outstanding) *

Do you have any allergies? *

Yes

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

Are you taking any prescription medication? *

Yes

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

Yes

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? *

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).

Online Admissions Application

Personal Information

Biographical Information

Autobiography

Family

Church

Education

Experience

Medical

Submission

Final Submission

Non-Discrimination Policy

About Berkshire Institute

Student Information

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