Davis College Application for Admission

for Word of Life Bible Institute Students

Please note: After submitting this form, you will receive an email confirmation that we have received your application. Your email address is a required field below.

The following forms and information must be sent to the Office of Admissions along with the submission of this online application:

Personal Background

Mr. Miss Mrs. Ms. Rev. First Name: Middle Initial: Last Name:

Email Address (required):

Street: City:

County of Residence (not "Country"):   State: Zip:

Are you a United States Citizen?: Yes No

Phone (XXX-XXX-XXXX):

Age: Birth Date (MM/DD/YY):

Social Security Number: Marital Status: Single Married Separated Divorced

Family Background

Name of: Parent Guardian Spouse

Street: City:

State: Zip:

Phone (XXX-XXX-XXXX):

If you listed your parent(s) above,

Father's Employer: Father's Occupation:

Mother's Employer: Mother's Occupation:

Are your parents graduates of Davis College? Yes No

Educational Background

Desired Course Load: Full-time Part-time
Desired Living Accommodations: Resident Commuter
Veteran Yes No   

High School

City:   State:   Zip:

G.E.D.    Graduation Date (MM/DD/YY)

ACT or SAT None SAT Only ACT Only SAT & ACT Date Taken (MM/DD/YY)

List any colleges or post-secondary institutions attended:

Christian Life

Your church name:

Church Phone (XXX-XXX-XXXX):

Street: City: State: Zip:

Are you a member of the church? Yes No   

Pastor's Name

Have you received Jesus Christ as your savior? Yes No Unsure

If yes, when?

Describe your understanding of the plan of Salvation:

Have you ever been convicted of a crime?

Yes No (If yes, please explain below, or send us a letter of explanation).

Are you in agreement with Davis College's doctrinal statement? Yes No
(Click Here to view our Doctrinal Statement in a new window.)

If no, please explain:

Thank you for submitting your application online!

You will receive confirmation by email when it is received by our admissions office.