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

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-2- Names and ages of brothers -'ALA' Names and ages of sisters EDUCATIONAL INFORMATION: List in order high schools you have attended Q9 through 12 gradesj: Name of school City and State Dates attended Graduated List in order colleges you have attended Qif anylz Name of school City and State Dates attended Graduated Are you in good standing at the institutionfsj attended? When do you plan to enter Gulf-Coast Bible College? How many years do you plan at Gulf-Coast Bible Col1ege?-.,-- Earn a degree? In what program will you enroll at Gulf-Coast?,-,i.-.i. Major Do you plan to live in the dormitory?-i..1.Qunless married, or living with parents or guard- ian, all students are required to live in the dormitoryj. Briefly describe any work experiences: CHRISTIAN EXPERIENCE AND PURPOSE: Are you a Christian?-,.,,, How long have you been a Christian? Are you earnestly endeavoring to live a Christian life? Church affiliation fdenomination and local churchj g YOUR STATEMENT: i Write a biographical sketch in your handwriting, including experience of conversion, progress in the Christian life, call to Christian service, etc. Cabout 200 words .J This statement should be submitted on a separate sheet of paper and attached to this application.

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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-..

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-3- REFERENCES: Qnot relatives . Give their name and complete addressbz Pastor g Cif pastor is related, give another ministerj High school teacher Qif out of school more than two years , list a Christian friendl Christian or business friend FINANCIAL ARRANGEMENTS INFORMATION: Students should check carefully the financial requirements as outlined below, and should be pre- pared to make payments promptly and fully according to the plan there indicated. How do you expect to finance your education? Is there anyone dependent on you for support? Are you in debt?-1.-T1-l To what extent? All accounts are considered due at registration. For the benefit of those unable to pay cash in advance the school offers three delayed payment plans as listed below. There is a four percent 14955 service charge added to any balance remaining unpaid at the time of registration. Please check the plan you intend to follow: 1 . Pay the account in full at the beginning of the semester 2. Pay the account in four payments -- one-third Qplus insurance and feesj at the time of registration and balance in three equal payments on the first of the three succeeding months. 3. Special arrangements ffor those with season or other peculiar income problems., Requires one-third down at the time of registration. 'Account is to be paid in full be- fore the end of the semester. 4. Students attending under the G.I. benefits pay at least one-third down at the time of registration, balance to be paid in three equal monthly payments as government checks are received. Available scholarships and loan fluids are described in the college bulletin . Application forms are available upon request and must be filed with the Registrar's office on or before May lst prior to the fall term . Signature of person responsible for paying all bills of the above student: g Signed Age tif under 212 Address