Montgomery County High School - Warrior Yearbook (Mount Sterling, KY)

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s,J4N..g- APPLICATION FOR ADMISSION to Please attach photo Gilf-Coast Bible College or clear individual Date of this application snapshot here. fPlease fill out all items on this application in ink or by typewriter, and mail it to the REGISTRAR, Gulf-Coast Bible College, 911 West llth Street, Houston, Texas 77008. All information will be regard- ed as confidential. It will be used by the college in evaluating your qualifications for entrance and for guidance purposes after you are on campus. Your application will not be completed until your high school transcript and college transcript Gf anyj and medical record have been received in this office. Be sure to include the non-refundable application fee with your app1ication.b PERSONAL INFORMATION: Mr. NAME: Mrs . Miss Last First Middle Home address Street and Number City State zip code Phone number ill Date of birth Place of birth Age-1Marita1 status fsingle, engaged, married, widowfei-J, divorced flf divorced, a letter of explanation should be enclosedj If married, will your companion come with you?,.,1iNurnber of dependents --iii Status of health Physical Limitations fif anyj Will physical impairment necessitate any special consideration? Citizen .1i,Vetera.n il-iBranch of Service FAMILY INFORMATION: Father's name in full: Mother's name in full: Address Address Occupation Occupation Name of firm Name of firm Place of birth Place of birth Church affiliation Church affiliation College he attended College she attended College graduate'?,... Degree.......Y.. College graduate 7-iDegree ii-..