Your Name:
Birthdate:
Address:
Address Line 2 (optional):
Your City:
Your State:
Your Zip Code:	-
Your Phone Number:
Your E-mail Address:
Social Security Number:
Sex:	Male       Female
Race:	Caucasian American Mexican American Afro American Oriental American American Indian Other
Marital Status	Single Engaged Married Widowed Separated Divorced Re-Married
Name of spouse or fiance'(e)
Is your spouse or fiance'(e) in agreement with your decision to enter the ministry?	Yes     No
Have you been previously married?	Yes     No How many times?
Nearest Relative (not husband or wife) to be notified in case of emergency:
Name:
Relationship
Address:
City, State, Zip
Phone:
Church Affiliation and References
Denomination:
Name of your church
Address
City, St, Zip
Pastor
Minister to whom reference letter was given
Name:
Address
City, State, Zip
Phone
Do you have a definite call of God on your life to enter the FULL -TIME MINISTRY	Yes    No
Personal references to whom letters were given
Name
Address
City, State, Zip
Phone
Have you ever been discharged from military service because of physical, mental, or other reasons? Yes    No Have you ever been a patient (committed or voluntary) in a mental ward, hospital or sanitorium? Yes    No
Height:
Weight
Your General Health:	Excellent Good Fair Poor
Please designate with E,G,F, P	Eyes   Ears    Heart  Lungs:
Cite any physical handicaps or defects:
Do you have any disabilities that would require special facilities?	Yes      No
Known Drug Allergies:
Education
Highest Level Attended	1 2 3 4 5 6 7 8 9 10 11 12 GED VoTec 1 VoTec 2 College 1 College 2 College 3 College 4 Masters Specialist Doctorate Other
Beginning with High School, list all educational institutions attended. Name Of School Dates Major Diploma or Degree
Please list you previous work experience, starting with LAST employer Name of Employer  Duties Performed Dates
Do you have a criminal record?	Yes     No
Briefly state why you would like to attend HGBC: Don't hit the Enter key!
Were You Raised in a Christian Home?	Yes    No
How many years have you been saved?
Baptized in the spirit?
What activities have you been involved in at your church?      I understand that attendance to HGBC is a privilege and not a right.  By signing and submitting this application I agree to conform to the standards and regulations established by the administration, both those printed and those that may be adopted from time to time.
(Your Name)	(Date)
(Parent if underage)	(Date)