Apply

First Name

Last Name

Middle Name

Preferred Name

Gender

Date of Birth

Marital Status

Race/Nationality

Maiden Name

Spouse's Name

Do you have any children?

Please upload a photo of yourself.

Choose File

Contact Information

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Email

Parent/Guardian Name (If applicant is under 21)

Cell Phone

Parent/Guardian Email (If applicant is under 21)

Home Phone

Are you currently a member of a Fundamental Independent Baptist Church?

Church Name

Are you actively involved in the church where you are a member?

Please briefly describe ministry involvement.

Church Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Personal Testimony

Entrance Date to IBC

Degree Pursued

Associate of Arts Major

Bachelor of Arts Major

Associate of Science Major

Bachelor of Science Major

How do you plan to meet college expenses?

If either of your parents is involved in Christian ministry leadership, you may qualify for a $500 per semester Christian Worker’s scholarship.

Do you have a parent involved in Christian ministry leadership?

What position in ministry does/do your parent(s) hold?

Please read the eligibility guidelines before applying for the Academic Excellence scholarship.

I would like to apply for the Academic Excellence scholarship.

I would like to apply for the Work Scholarship program.

Anticipated/Past HS Graduation Date

High School Attended

HS Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Have you previously attended any other college(s)?

Yes

No

Please list name(s) and dates of attendance.

Have you already obtained a degree from another college?

Yes

No

Do you have outstanding financial obligations to any colleges?

Yes

No

Insurance

Do you have insurance or health share plan coverage?

Yes

No

Insurance/Health Share Plan Company Name

Policy or Group Number

ID Number

Insurance Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Medical History

Surgeries: If none, please indicate.

Injuries: If none, please indicate.

Food Allergies/Sensitivities: If none, please indicate.

General or Medical Allergies: If none, please indicate.

Please check all that apply.

Pastoral Reference

Pastor's First Name

Pastor's Last Name

Pastor's Email

Pastor's Phone

Academic Reference

Teacher's First Name

Teacher's Last Name

Teacher's Email

Teacher's Phone

General Reference

Reference's First Name

Reference's Last Name

Reference's Email

Reference's Phone

STATEMENT OF INTENT:

I hereby make application to Indiana Baptist College and verify that this application is true and complete with no omission in any area. I also understand that any untrue statement will subject me to immediate dismissal from Indiana Baptist College. Upon matriculation I agree to comply with the doctrines, rules, and regulations of the Institution and to maintain standards of conduct in accordance with the aims and objectives of Indiana Baptist College.

I agree to the Statement of Intent.

PHOTO CONSENT:

I give consent to Indiana Baptist College to use photos and videos of me publicly for promotional purposes of the IBC. I also understand that no royalty, fee, or other compensation will become payable to me by reason of such use.

I agree to the Photo Consent.

DISCIPLINE CONSENT:

I give consent to Indiana Baptist College to release to my parents and/or pastor(s) my disciplinary record and to discuss disciplinary matters with the aforementioned parties.

I agree to the Discipline Consent

Payment Method

Online

Phone

Mail a Check

Payment Item

Fee: $25.00

Pay with Card

I hereby submit a $25 application fee with the understanding that the fee will be retained to cover the cost of processing my application.