Enrollment FORM

YEAR

2013	(August) Fall Semester	First Year

Courses offered - Check boxes you choose to study:

Old Testament Survey Part- I	☐

Old Testament Survey Part – II	☐

New Testament Survey	☐

How to Study the Bible	☐

YEAR

2014	(January) Winter Semester	First Year

Courses offered - Check boxes you choose to study:

Basic Bible Truth	☐

Understanding Teaching	☐

Developing the leader within you	☐

Becoming a Contagious Christian	☐

Name:	Date:

Address (Apt./P0 Box)

City: State: Zip

ATTENTION TO:

New Students: This form must accompany Student’s application

The following must be submitted with Student Application along with Student Tuition Agreement form.

Registration Fee $10.00

Cost for each class: ☐$50.00 for 1 class. ☐ $150.00 per semester (4 classes)

Text books are included!

General Information:

You will be required to be diligent in your studies and attend classes (usually) on the first Saturday of each month during the semester at District Office, in Thonotosassa, 1030 Main St. FL, 33592.

Course Requirements:

Keep up with assignments.

Exams will be given for each course; mid-term and final exam.

NOTE: All exams will be given as an open book.

NOTE:

Keep your class course note book up to date, to be turned in to be graded following the end of the semester. This note book should contain class notes, worksheets, and information that will be given out occasionally.

Class Grading System:

Mid-Term Exam = 25% of total grade
Final Exam = 50% of total grade
Note books = 25% of total grade

LABELLE BIBLE INSTITUE GRADING SYSTEM

PERCENTAGE	GRADE	GRADE POINT
97 - 100	A	4.0	Excellent, Superior
92 - 96	A-	3.7	Superior Achievement
88 - 91	B+	3.3	Meeting All Requirements
84 - 87	B	3.0	Very Good
81 - 83	B-	2.7	Good
77 - 80	C+	2.3	Satisfactory
73 - 76	C	2.0	Passing
69 - 72	C-	1.7	Passing
F	0.0	Failure
I	0.0	Incomplete-Conditional
WP	0.0	With-Drawl/Passing
WF	0.0	With Drawl/Failing

TUITION TERMS

AND STUDENT AGREEMENT

REGISTRATION FEE:	$10.00

TUITION COST

Per Semester	$150.00

☐	Payment Option #1

I choose to pay my course tuition in full at the time of enrollment. Plus registration fee.

☐	Payment Option # 2

I choose to pay the required down payment of 35% and pay the balance in monthly installments by the end of the semester.

For Option #2 - Complete the following agreement:

I acknowledge, understand and agree to the tuition, terms and payment schedule for this term I have enclosed my initial down payment of	for enrollment and will pay the balance in monthly installments by the end of this semester. With my signature, I do hereby promise to be faithful to make payments and to be responsible to meet this financial obligation as per the foregoing schedule.

Date:Click here to enter a date.
Print or type your:

Name:

Signature:

PERSONAL INFORMATION
Date : Click here to enter a date.	Telephone	Email:
Last Name:	First Name	M.I
Mailing Address	City	State	Zip Code
Date of Birth	Sex ☐ Male ☐ Female	Nationality
Name and Address of Your Home Church
STUDENT AGREEMENT
Are you born again? Yes ☐No ☐When? Are you spirit filled according to Acts 2:4? Yes ☐ No ☐
In any form, do you use narcotics? Yes ☐No ☐ Alcohol? Yes ☐No ☐Tobacco? Yes ☐No ☐ If Yes, please explain
Are you called to the ministry? Yes ☐No ☐Are you currently engaged in the ministry? Yes ☐No ☐If yes, please provide a resume of all ministerial work to date on a separate sheet.
Provide a resume of your secular education to date on a separate sheet.
Provide a resume of your Bible education to date on a separate sheet.
Will you furnish sets of transcripts, records, and other evidences of previous study?
Do you understand the credit/value transfer values of PBI courses are determined by the admitting authorities of the institution you may transfer to? Yes ☐ No ☐ Do you agree with this? Yes ☐ No ☐
Do you intend your studies to prepare you as a minister? Yes ☐ No ☐ Lay Person? Yes ☐ No ☐
Do you understand that although PBI courses have been designed to prepare you theologically for the ministry, as well as other church related work, PBI does not grant or issue ministerial credentials, and/or guarantee job/position placement? Yes ☐ No ☐
Do you understand that PBI offers instruction in theology and doctrine only? PBI further requires adherence to Christian doctrines and principles of faith? Yes ☐ No ☐
Will you honor our student financial agreement and agree that no earned grades, certificates, degrees be assigned you until all financial terms/agreements are met? Yes ☐ No ☐
On approval of your application, do you understand that a student financial agreement must be completed, signed and returned with payment in full or down payment before any study materials will be shipped? Yes ☐ No ☐
Will you accept the grading and judgment of the PBI faculty/dean in evaluating the quality of all work done through PBI? Yes ☐ No ☐
Do you understand that each student shall purchase the necessary textbooks and materials according to the list provided with each course? Yes ☐ No ☐
To insure satisfaction to the student, PBI will allow a period of thirty (30 days from the date of course enrollment the student to return course for refund of monies paid, with the exception of a $35.00 (THIRTY-FIVE DOLLARS) non-refundable fee for file set-up, shipping, and office fees. PBI further reserves the right to charge for damages to all returned course materials. Do you agree to this refund policy? Yes ☐ No ☐
APPLICANT’S SIGNATURE	DATE