Lubbock Baptist College
Preparing God's People For Ministry     
L.B.C. Application Form

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Application/Registration ( one time fee)
Non Refundable		 $ 50.00
Tuition - ($10.00 per credit hour 32 credits per year $ 320.00
Postage and Handling Charges $ 40.00
============================================
Graduation and Diploma fee $ 100.00
Sub Total $ 510.00
Books ( depends on subjects that you take ) $

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Make your check payable to "Lubbock Baptist College"
Student's Personal Info For Enrollment:
Full Legal Name:
First Name
Middle Name
Last Name
Address
City
State
Zip
E-mail
Social Security #
Mailing Address
Day Phone
Evening Phone
Fax
Cell
D.O.B. (m/d/y)
Sex    (M)(F)
Citizen of the US Yes  No
If no, what country:
Guardian Info:
Legal guardian
Relationship to student
Address
City
State
Zip
Phone
Personal Info
How long have you been saved?
Are you a church member?    Yes    No
Do you attend church regularly? Yes    No
Church that you are member of:
Church Address:
Church City:
Church State:
Church Zip:
Church Office Number:
Pastor's Name:
Date you wish to enter S.L.B.C. (Month)   (Year)
REFERENCES:
Pastor
Address
Phone
Name
Address
Phone
Name
Address
Phone

Do you have a S.L.B.C. Catalog?

Yes   No
If so, What year?
ACADEMIC INFORMATION:
High School from which you graduated:

Name
Address
City
State
Zip
Phone
Year Graduated
Did you get a G.E.D.? Yes    No
Did you take the ACT? yes    No
Have your scores been sent to L.B.C.   Yes  No

NOTE: Every student applying for enrollment must 
submit a pastor's recommendation letter with application.

Lubbock Baptist College
Dr. Rick Honea, Th.D, CH, LMT
P.O. Box 93238 Lubbock, Texas 79493
(806) 792-4196
 
Preparing God's People For Ministry