JAMESON CHRISTIAN COLLEGE
P.O. Box 0086 Local Address: P.O. Box 737
Luquillo, Puerto Rico 00773 Drexel Hill, PA 19026
APPLICATION FOR ADMISSION
Please type or
Print your answer to every question carefully and candidly.
PERSONAL DATA Date______
Full Name______Phone number_(___)______
Street______E-Mail Address:______
City______State______Zipcode______
Date of Birth______Place of Birth______
Height______Weight______Color of hair______Color of eyes______
Sex: M( ) F( ) Country of citizenship______
Marital Status: Single( ) Married ( ) Widow(er) ( ) Seperated ( ) Divorced ( ) Divorced and remarried ( ) If married: Date married______
Was your spouse divorced before you married?______
Number and ages of children______
Full name of spouse______Maiden name______
Social Security Number______Military Status______
FAMILY DATA
Father’s name______His occupation______
Mother’s name______Her occupation______
Guardian’s name (if other than parent’s)______
ADMISSIONS FILE DATA
References: List clearly names and complete mailing addresses of three references.
1. Pastor______
2. Christian Leader______
3. Christian Leader______
CHRISTIAN EXPERIENCE AND OBJECTIVES
When and where were you converted?______
What church do you attend?______Are you a member?_____
Address______Denomination______
What vocal or instrumental talent have you developed?______
If accepted, will you with the help of the Lord, sincerely endeavor to abide by all regulations of the College and submit yourself to those in authority?______
SCHOLASTIC AND VOCATIONAL DATA
Last High School attended______Address______
Did you graduate?____When?_____If not, what was the last grade level you completed?
Below 9th grade( ) 9th grade( ) 10th grade( ) 11th grade( ) If still attending high school, give expected date of graduation______
List below all colleges (or other post-highschool institutions) attended:
NAME LOCATION DATES ATTENDED COURSE DEGREE
*______
*______
*______
*______
Have you ever been dismissed from school?_____If so, explain on separate sheet of paper.
Do you have a hobby?______
Give the name and address of your most recent employer______
*______
What vocational experience have you had?______
*______
LIFE EXPERIENCE PROFILE
This section of the application for admission is designed to identify those life experiences that might qualify for academic credit in the applicant’s respective college program.
PREVIOUS BIBLE, RELIGION, THEOLOGY COURSES COMPLETED
BOOKS READ
CHRISTIAN SERVICE (Amount of time as Pastor, Evangelist, Missionary, Teacher,
Gospel Worker, etc.)
ADDITIONAL AREAS OF STUDY AND/OR SERVICE
APPLICANT’S PROGRAM PREFERENCE
Degree program applied for (2010)______