Foundations of Christian Worldview

Registration

Applicant Information

First Name (Legal) *

First Name (Preferred) *

Middle Name *

Last Name *

Phone *

Email *

Date Of Birth *

Gender *

Applicant Information

What is your t-shirt size? *

What statement best describes your status with Bethlehem? *

High School Graduation Year *

How did you hear about this summer intensive? *

Residency Information

Address

Street Address *

City *

State *

Country *

Postal Code *

Are you a U.S. citizen? *

Ae you Hispanic or Latino? (This information is only used for reporting purposes and not for admissions decisions.) *

Please select one or more of the following races. (This information is only used for reporting purposes and not for admissions decisions.) *

Educational Information

High School Name *

High School Type *

High School Location *

Additional High Schools *

Have you earned any post-secondary credit (College, PSEO, dual-enrollment, AP etc.)? *

List all institutions where you completed undergraduate coursework. *

Spiritual Information

Do you consider yourself to be a Christian? *

Why are you interested in taking this Summer Intensive? *

In 100 words, please describe your conversion. *

Church Information

Where do you attend church? *

In which city is your church located? *

In which state is your church located? *

Church Denomination *

Church Involvement *

Please provide contact information for a pastor who can provide a reference, if needed.

Pastor's Name (reference) *

Pastor's Email *

Pastor's Phone # *

Registration Information

Which course package are you signing up for? *

Do you have any food allergies we should be aware of? Please list below. *

Parent Information

Father's First Name *

Father's Last Name *

Father's Cell Phone

Father's Email

Father's Street Address

Father's City

Father's State Options

Father's Zip Code

Mother's First Name *

Mother's Last Name *

Mother's Cell Phone

Mother's Email

Mother's Street Address (if different than above)

Mother's City

Mother's State Options

Mother's Zip Code

Are your parents divorced or separated? *

Emergency Contact

Emergency Contact Name *

Emergency Contact Cell Phone *

Emergency Contact Work Phone *

Emergency Contact Email *

Emergency Contact Relationship *

Spreading a passion for the supremacy of God in all things for the joy of all peoples through Jesus Christ

Contact

Bethlehem College and Seminary

720 13th Avenue South

Minneapolis, MN 55415-1793

Email: [email protected]

Twitter: @BCS_MN

Facebook: @BCSMN

Instagram: @BCSMN

Phone: 612-887-9400

720 13th Ave S, Minneapolis, MN 55415, USA