Application for Enrollment Application for Enrollment Upon filling out the following application, you will be required to pay a $40 non-refundable application fee. 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 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 Ethnic Origin (This information is required by the Civil Rights Act.)(required) Caucasian Black Hispanic American Indian/Alaskan Native Asian/Pacific Islander Korean Other 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. Consent I understand that my signature on this application will constitute a contract with the college concerning my financial liability and my understanding of the policies listed on this page. Type full name as electronic signature SUBMIT