Potter's Bible College

1

Personal Information

Full Name *

Gender *

Date of Birth *

Nationality *

Marital Status *

Phone Number *

Email Address *

Residential Address *

Occupation

2

Church Information

3

Salvation & Spiritual Experience

When did you become born again?

Have you been baptized? *

Yes No

Have you received the Holy Spirit baptism? *

Yes No

Briefly share your testimony

Why do you want to attend this Bible College? *

4

Educational Background

List the schools you have attended (optional).

School Attended

Level Completed

Year

5

Program of Interest

Select a program *

Certificate in Biblical StudiesA foundational study of the The Words: how to read, understand, and rightly divide the Word of God.Certificate in MinistryPractical training for those called to serve: pastoral care, evangelism, and church leadership.School of the ProphetsTraining in the prophetic: spiritual gifts, discernment, and hearing the voice of God.

6

Emergency Contact

Name *

Relationship

Phone Number *

Address

7

Health Information

Do you have any medical condition we should know about? *

Yes No

If yes, please explain

8

Declaration

I declare that the information provided in this form is true and accurate to the best of my knowledge. I agree to abide by the rules and regulations of the Bible College.

I have read and agree to the declaration above. *

Applicant's Signature (type full name) *

9

Reference

Name

Contact

Relationship

Admission Application

Personal Information

Church Information

Salvation & Spiritual Experience

Educational Background

Program of Interest

Emergency Contact

Health Information

Declaration

Reference