NBBIC COURSE APPLICATION

Every Student MUST COMPLETE This Form

9420 Belair Road, Baltimore, Maryland 21236 | 410-248-9080 | WEB http:nbbic.net
Applicant Full Name Applicant Full Name * First Last
Last 4 Digits Of SS# *
Must be a number less than or equal to 4.
Mailing Address Mailing Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Address Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Choose Program Level (All Level 3 students must purchase workbooks which are an additional cost of $12.00) *

Choose Program Level (All Level 3 students must purchase workbooks which are an additional cost of $12.00) Level 1 ($60.00) Level 2 ($100.00) Level 3 ($170.00 + $12 For Required Workbook)
Class You Are Enrolling In *
Non-Level 3 Students Wishing To Purchase Books May List Desired Books Below
Comments
Maximum of 500 characters allowed. Currently Entered: 0 characters.
PLEASE NOTE! ALL CLASS COSTS HAVE CHANGED!!

Your book fees, administrative fee and all of the course cost is due with this application. If you cannot pay the full course cost, payment plans are available, see a student advisor for information on payment plans.. *A $25.00 administrative fee will be charged for each course.* If you are a student new to the college and taking courses for credit there is an additional $30.00 enrollment fee required by Sunset International Bible Institute.

PROGRAM LEVEL 3 APPROVAL REQUIRED

If you desire to advance to Program Level 3, prior approval is required from the administrative office. Invoices for each class will be issued upon receipt of this application. Please make checks payable to the Northeast Baltimore Bible Institute. Payments can be made using PayPal through our website.
Signature (First & Last Name, Today's Date, And A/In) *
Spam Protection. Please answer this simple question.
In the number 77283, what is the 4th digit?

NBBIC COURSE APPLICATION

NBBIC COURSE APPLICATION

Every Student MUST COMPLETE This Form

PLEASE NOTE! ALL CLASS COSTS HAVE CHANGED!!