begin your application NOTE: If you are experiencing any technical difficulties with this from please email dallasp@fbep.org Student Application Personal InformationName(Required) First Last Birthday(Required) MM slash DD slash YYYY Email Address(Required) Phone Number(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Citizenship(Required)Upload a recent photo of yourself(Required)Max. file size: 256 MB. Church Name(Required)Church Affiliation(Required)Marital Status(Required) Single Dating Engaged Married Partner's Name(Required)Anniversary or Wedding Date(Required)Names/Ages of ChildrenExample: Isabelle 3, Hudson 1Parental InformationFather's Name(Required)Father's Occupation(Required)Father's Phone Number(Required)Check any that apply Deceased Minister Missionary Attended Faith Builders as a student Mother's Name(Required)Mother's Occupation(Required)Mother's Phone Number(Required)Check any that apply Deceased Missionary Attended Faith Builders as a student Parent's Home Address(Required) Street Address City State / Province / Region ZIP / Postal Code USAAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parent's Email Address(Required) EnrollmentI am applying to begin studies in August...(Required)I am applying for...(Required) Teacher Apprenticing Christian Ministries General Studies In rare cases, we admit students for one year of non-track studies. Contact us if you wish to request this exception.Classroom Preference for Student Teaching Grades 1-2 Grades 3-4 Grades 5-6 Grades 7-8 Grades 9-10 Grades 11-12 You may select a range. Preferences are not binding. We may not be able to honor all preferences.Educational BackgroundSchool Name(Required)Location(Required)Graduated from high school(Required) Yes No You will be asked to have your high school send us a transcript of your academic records.Dates Attended(Required)If you did not graduate, please list the highest grade completed.If you have completed a GED, upload it here.Max. file size: 256 MB. Have you been enrolled in any college, university, or trade school?(Required) Yes No College/University Name(Required)Location(Required)Degree(Required)Graduated(Required) Yes No Dates Attended(Required)Employment HistoryPlease describe your previous jobs. Include voluntary service if your term was full-time for at least one year in length and completed within the last year.Job TitleLocationEmployer or SupervisorPhone NumberJob TitleLocationEmployer or SupervisorPhone NumberJob TitleLocationEmployer or SupervisorPhone NumberEmergency ContactsIn the event of an emergency, we will contact these people regarding medical treatment questions.Contact 1(Required) First and Last Phone(Required)Relation(Required)(Father, Brother, etc.)Phone(Required)Relation(Required)(Father, Brother, etc.)Health Insurance and Physician InformationYou are responsible for the cost of treatment for injuries or illnesses not caused by Faith Builders-related activities. The information below will help us make contacts on your behalf if necessary.Does your church have an aid plan to help with medical expenses?(Required) Yes No Do you have health insurance?(Required) Yes No If you answer yes to either option above, list the name of the company and contact phone number.Name and phone number of family physician or medical practice.Medical HistoryLeave blank if answer is none.Drug AllergiesOther AllergiesDoctor-ordered DietDietary RequestsMedications you currently take (include reason for taking)Psychological DisorderHave you had a psychological disorder diagnosis? If yes, include diagnosis, treatment, and datePast major surgeries (include year of surgery)Do you wear contact lenses or glasses?(Required) Yes No Have you had a tetanus shot within the last 5 years?(Required) Yes No Year of Tetanus Shot(Required)Health ProblemsIndicate any health problems you have/had which require(d) medication or treatment by a physician over an extended period of time. Seizures Headaches Asthma Bronchitis Heart Disorder Blood Disorder High Blood Pressure Dermatitis Drug, Alcohol, or Tobacco Use Gastric Ulcers Diabetes Mellitus Low Blood Sugar Gastrointestinal Disorders Kidney Disorders Cancer Arthritis Depression Anxiety Other Health ProblemsIndicate any health problems you have/had which require(d) medication or treatment by a physician over an extended period of time.Other NotesIs there any other information that you would like us to know prior to enrollment? NotesCommitment(Required) I affirm and commit to the descriptions below.The primary goal for all students is development of Christlikeness through discipleship. Discipleship occurs in classes, in dorm life, in mentoring, and in other formal and informal situations as we share experiences and as we give and receive feedback while pursuing Christ together. Since community life and spiritual growth depend on honesty, open communication, and love for others, all students must commit themselves to support of the standards at FBTI and being open to the counsel of others. I affirm that the above information is accurate to the best of my knowledge. In addition, I commit myself to abide by the disciplines and guidelines of FBTI as well as the expectations of my home congregation. I will do my best to enhance the spiritual atmosphere of FBTI and to encourage others to do so. Should my conduct or practice be considered unacceptable, I welcome correction. I desire that FBTI maintain high moral and spiritual standards. Therefore, I voluntarily affix my assent this application by checking this box.Application Fee(Required) Price: Credit Card(Required)
