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ABOUT
ADMISSIONS
- Tuition & Fees
- Life Experience Credit
ACADEMICS
GIVE
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WHY VCBCS?

Degree Student
Application

BASIC INFORMATION

First Name

Last Name

Date of Birth

Email Address

Phone

Gender *

Male

Female

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Country of Citizenship

Ethnicity

Are you currently, or have you ever, served as a police officer, firefighter, EMS, or in the military? *

Yes

Marital Status *

Single

Married

SPIRITUAL PROFILE

Name of Home Church

Denomination

Church Address

Pastors Name

Church Phone Number

Briefly describe your salvation story.

List any ministries that you have served in.

ENROLLMENT INFORMATION

Select the academic program you wish to apply to.

Student Enrollment Status *

Part-Time

Full-Time

Will you be taking classes through an affiliate campus? *

Yes

If yes, please indicate which affiliate campus you are a part of.

EDUCATION

High School Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

High School Graduation Date

Type of Diploma Received

College or University Name #1

Graduation Date

College or Univrsity Name #2

Graduation Date

EMPLOYMENT

Employment Status

Name of Workplace (If Employed)

Job Title

If you have no employment experience, please explain here.

Upload Unofficial Transcripts: If you have previous college experience, please upload an unofficial transcript for each college you attended. An official transcript should be mailed as well to: VCBCS Administrative Office PO Box 622, Hudson, NY 12534

Upload File

Upload supported file (Max 15MB)

Photo: Please upload a photo. The photo should be of just you.

Upload File

Upload supported file (Max 15MB)

E-Signature: I certify the above information is accurate and truthful in all regards.

Your Signature

Thanks for submitting! In order to process your application, please pay the application fee.

Undergraduate Program: $50

Graduate Program: $100

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S T U D E N T
HANDBOOK

Contact

Email: admin@vcbcs.org
Tel: 844-863-7847

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