Diploma
Application for Admission

1. PERSONAL INFORMATION

Your Student #: 
Graduation Date:   
Previous Leader: 
First Name: 
Middle Initial: 
Last Name: 
Address: 
City: 
State/Prov/Terr: 
Zip/Postal Code: 
Email: 

Home Phone: 
Cell Phone: 
City/State of Birth: 
Date of Birth: 
Gender: 
Marital Status: 
Spouse's Name (If Applicable):
Church: 
Church City: 
Church State/Prov/Terr: 

2. PROGRAM INFORMATION

Mark the program and admission status to which you are applying: 

Program

Admission Status

3. MINISTRY MENTOR AND GROUP LEADER

First and Last Name of your Ministry Mentor: 
First and Last Name of your Group Leader, if known:

4. ADMISSIONS ESSAY

Describe your conversion and walk with Christ: 
Explain how you expect your studies at Inste Bible College will help you attain your ministry objectives: 
I agree to the regulations set forth in the INSTE catalog valid at the time of my signing this application. I understand that my completion of this study program does not guarantee my acceptance for any position by any church or organization. I agree that it is my responsibility to verify the applicability of INSTE's credits toward any educational goal that I may have. I hereby affirm my commitment to the Lord and His Kingdom. I commit myself to the study of the Word and to putting it into practice in my life and ministry.
Signature: 
Date: