Complete Name:

Street Address or PO Box:

City:

State:

Country: (Must reside in US)

Zip or Postal Code:

Home Phone:

Business Phone:

Fax Number:

Social Security Number:

Date of Birth:

Current Occupation:

Education Level (Years):

Current Status:

None Graduated HS Earned GED Some College Asociates Degree Bachelors Degree Masters Degree

Current Ministry Credentials:

NA None Ordained

Church You Now Attend:

U.S. Citizenship:

Yes No

Sex:

Male Female

Marital Status:

Married Single Divorced Widowed

Maiden Name:

Race:

Caucasian African American Jewish Hispanic Native American Asian Other

Email Address:

Degree/Certificate

School

Location

Hours

Date

Associates:

Bachelors:

Masters:

None Selected Theology Bible S. Pastoral S. Religious S.

None Selected Theology Bible S. Pastoral S. Religious S.

None Selected Theology Bible S. Pastoral S. Religious S.

Education and Ministry Goals, Additional Comments

You may make your tuition donation online via PayPal or send in a check or money order. We will process your application and prepare your program requirements. A donation of $50.00 for the Application Fee must be received within two weeks of your application or we will place it in an inactive status.

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PLEASE READ CAREFULY THE FOLLOWING AFFIDAVIT OF AGREEMENT BEFORE SENDING TO TGCM BIBLE COLLEGE

I certify that I have answered all of the questions on this application truthfully and accurately. I understand that any misrepresentation can lead to dismissal from my degree programs after acceptance of the College.

I indicate by my signature that I have been notified of my rights as recorded by STATUTE 20, UNITED STATES CODE 1232g shown below.

Privacy Rights of Students STATUTE 20, UNITED STATES CODE, 1232g and regulations adopted pursuant thereto. The code provides for an institution to establish a category of student information termed “directory information”. All information , such as health and medical records, disciplinary records, records of personal counseling, required student and family financial income information records, transcripts or student permanent academic records, student placement records and other personally identifiable information shall be open for inspection only to the student and such members of the professional staff of the college as have responsibility for working with the student. Such information will not be released to second parties without consent of the student. Except as required for use by the president in the discharge of his official responsibilities as prescribed by laws, regulations of the state board, and board policies, the designated custodian of such records may release information from these records to others only upon authorization in writing from the student or upon a subpoena by a court of competent jurisdiction.

I certify by my signature (forwarding this application) that I agree to abide by all College policies.

I acknowledge that I understand that no application fee donation made to the College will be refunded under any circumstance or condition.

I acknowledge the TGCM Bible College does not offer any type of job placement service. The programs offered by TGCM Bible College are for Christian Service in the work of the Lord. I understand that there are no claims being made regarding employment. TGCM Organization will qualify and ordained me after completion of a Bachelor’s degree or higher as long as I maintain Good Morale conduct and agree to the Sworn Oath of Service document by TGCM Organization.