Inquire / Application Information

APPLICANT INFORMATION: Applicant information such as contact, personal and admissions information.

Legal Name

Last

First

Middle

Maiden (if married)

Permanent Mailing Address

Street Address

PO Box

City

State / Province

Postal Code

Contact Information

Cell Phone Area Code

Phone Number

(while attending Jacksonville college)

Home Phone Area Code

Phone Number

Email Address

Personal Information FORMAT: xxxxxxxxx [no dashes]

Social Security/Government ID

Date of Birth

(mm/dd/yyyy)

Country of citizenship

Admissions Information

Term to begin study

Entry Type

Bible Certificate

required and optional