Bachelor of Religious Education in Middle Eastern History Degree Application

Full Name
Social Security #
Mailing Address
Apt #
City
State
Zip
Email Address
Home Phone
If employed, Work Phone
Date of Birth
Sex M F
Marital Status Single
Married
Divorced
Separated
Country of Citizenship
Permanent Resident of U.S.A? Yes No
Local Church Affiliation
Local Church Address
Local Church City
Local Church State
Local Church Zip
Pastor's Name
Pastor's Phone

List any relatives presently attending
or who have previously attended American Institute:

Name
Relationship
Name
Relationship
Name
Relationship

EDUCATIONAL INFORMATION

High School Name
Year Graduated
High School Address

Colleges / Universities / Other Schools Attended

Name
Degree / Credits Earned
Address
Degree / Credits Earned
Address
Degree / Credits Earned
Address
Have you previously attended or taken courses through American Institute? Yes No
I am interested in (check no more than 2 categories)
Auditing Full Time (4 or more courses; no grade / no credit)
Auditing Part Time (less than 4 courses; no grade / no credit)
Full-time Study for Credit (4 or more courses)
Part-time Study for Credit (less than 4 courses)
Please choose up to 5 courses of your choice
Total Amount

All applicants must send:

    1. A recent photograph (for your student file).
    2. Three letters of reference.
    • school or work (A reference letter from someone with whom you attend school or with whom you work, sent by the referrer.)
    • church(A reference letter from some with whom you attend church, sent by the referrer.)
    • personal(A reference letter from some with whom you are personally acquainted, sent by the referrer.)
    3. A check or money order for the application fee and appropriate tuition and materials fees for each class.

Send all of the above to the attention of Ms. Gina Worsham at:

American Institute For Advanced Biblical Studies
9700 Hwy 107
Sherwood, AR 72120

or