Application for Enrollment

General Information

Full Name(required)

Street Address(required)

City(required)

State/Province(required)

Zip/Postal code(required)

Email(required)

Primary Phone Number(required)

Alternate Phone Number

DOB(required)

Check one:(required)

Male Female

How did you hear of BCA?(required)

Word of mouth Instagram Facebook Other

If other, please specify

Level of study(required)

Bachelor's Master's Doctorate

Program of study (Ex: Biblical Studies, Church Ministry, Religious Education, Theology)(required)

Marital Status(required)

Single Married Divorced Other

Name of Spouse

Number of children

Have you ever been convicted for the violation of any Federal, State, County, or Municipality law (excluding minor traffic violations)? (required)

Yes (If yes, please give full details in an email to [email protected]) No

If other, please specify

Citizenship

Place of Birth(required)

Are you a citizen of the United States of America?(required)

Yes No

If no, of what country are you a citizen?

Educational Information

Name of high school(required)

Did you graduate from high school?(required)

Yes No

If yes, what was your graduation date?

If no, have you obtained a G.E.D.?

Yes No

If yes, when?

List all colleges attended in chronological order (most recent first):

College #1

Name of Institution

City, State

Dates attended

Credits Earned

College #2

Name of Institution

City, State

Dates attended

Credits Earned

College #3

Name of Institution

City, State

Dates attended

Credits Earned

Are you currently enrolled in the last institution attended?

Yes No

Are you eligible for readmission to that institution?

Yes No

If no, please list reasons. (Ex: Academic, Disciplinary, Other – please explain)

Military Service

Are you now serving or have you served in the armed forces of the U.S.?(required)

Yes No

What were your years of service?

Background Information

Present Occupation(required)

How long?(required)

Employer(required)

Employer Address(required)

Name of your local church(required)

Street Address(required)

City(required)

State(required)

Zip(required)

Phone(required)

Pastor's name(required)

Are you a minister?(required)

Yes No

If yes are you licensed?

Yes No

If yes, are you ordained?

Yes No

How long have you been in full-time Christian service?

What denomination do you classify yourself as being?(required)

Please list the names and phone numbers for two (2) character references

Financial Information

Tuition and fees are due at the time of enrollment. However, in an effort to aid students, we have provided three payment options. (Note: Discounts are for TUITION ONLY. Application and registration fees are not discounted.) Underneath the program that you are applying for, please select which monthly payment you would like:

Bachelor's Program Tuition – $1,800.00/yr.

0% Tuition Discount, $250 Down Payment, 12 Monthly Payments @ $130/mo. 0% Tuition Discount, $250 Down Payment, 18 Monthly Payments @ $86/mo. 0% Tuition Discount, $250 Down Payment, 24 Monthly Payments @ $65/mo. 5% Tuition Discount, $500 Down Payment, 12 Monthly Payments @ $101/mo. 5% Tuition Discount, $500 Down Payment, 18 Monthly Payments @ $67/mo. 5% Tuition Discount, $500 Down Payment, 24 Monthly Payments @ $50/mo. 10% Tuition Discount, $1,620 Down Payment, no monthly payments

Master's Program Tuition – $2,150.00/yr.

0% Tuition Discount, $250 Down Payment, 12 Monthly Payments @ $158/mo. 0% Tuition Discount, $250 Down Payment, 18 Monthly Payments @ $106/mo. 0% Tuition Discount, $250 Down Payment, 24 Monthly Payments @ $79/mo. 5% Tuition Discount, $500 Down Payment, 12 Monthly Payments @ $129/mo. 5% Tuition Discount, $500 Down Payment, 18 Monthly Payments @ $86/mo. 5% Tuition Discount, $500 Down Payment, 24 Monthly Payments @ $64/mo. 10% Tuition Discount, $1,935 Down Payment, no monthly payments

Doctorate Program Tuition – $2,500.00/yr.

0% Tuition Discount, $250 Down Payment, 12 Monthly Payments @ $188/mo. 0% Tuition Discount, $250 Down Payment, 18 Monthly Payments @ $125/mo. 0% Tuition Discount, $250 Down Payment, 24 Monthly Payments @ $94/mo. 5% Tuition Discount, $500 Down Payment, 12 Monthly Payments @ $156/mo. 5% Tuition Discount, $500 Down Payment, 18 Monthly Payments @ $104/mo. 5% Tuition Discount, $500 Down Payment, 24 Monthly Payments @ $78/mo. 10% Tuition Discount, $2,250 Down Payment, no monthly payments

BCA Policies

1. Baptist College of America is a local church ministry (Ecclesiastical Corporation) of Temple Baptist Church of Kokomo, Indiana. The sole purpose of Baptist College of America is to train Christians to serve in the ministries of local New Testament churches of like faith and practice.

2. Baptist College of America is not licensed or approved by the state of Indiana and does not guarantee that any of its degrees or credits will be recognized by any other institution. Baptist College of America is not accredited by any person, organization, or government agency. While Baptist College of America is not accredited, the course of instruction and the individual classes are widely accepted by fundamental colleges and mission boards as college-level work.

3. The $40.00 Application fee and the $55.00 Registration fee are non-refundable. The signing of this application is considered signing a contract with BCA. Fifteen days after receiving the study guide materials the student is liable for the entire amount of the program into which he enrolls.

Type full name as electronic signature