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International Online Student Application

 

Family Name*
Your Email Address*

 

Student Information

Last Name*
First Name*
Middle Name
Goes By*
Grade Entering*
Date of Birth*
      
Sex*
Country of Birth*
Country of Citizenship*
Ethnic Heritage*
Applicant lives with*
Has the applicant ever been enrolled in a special education program or received help for a learning disability?*
    
Has the applicant ever repeated a grade?*
    
If yes, which grades?
Has the applicant ever been suspended or expelled from school?*
    
If yes, why?
School presently enrolled in or last attended*
School's Address*
School's Country*
School's Phone Number*

 

International Student Insurance Status  
All international students are required to be covered by an insurance policy either from their family and home country or from BBS.  The
school policy will range between $55 and $85 per month depending on the level of coverage selected.  Indicate below the manner in
which you will provide the insurance coverage for your child.

Insurance*
    
Insurance Company
Insurance Policy Number

 

Father or Male Guardian

Father's Title
Father's Name
Father's Address
Father's Country
Father's email
Father's Phone Number
Father's Work Phone
Father's Occupation
Father Self-Employed?
    
Father's Church

 

Mother or Female Guardian

Mother's Title
Mother's Name
Mother's Address
Mother's Country
Mother's email
Mother's Phone Number
Mother's Work Phone
Mother's Occupation
Mother Self-Employed?
    
Mother's Church

 

Billing

Please check the tuition payment method you prefer if accepted:*
    

 

Parental Agreement

In making application, we acknowledge that:
 

  1. We have acquainted ourselves fully with the program and policies of the school.
  2. We will cooperate fully with the administrative, educational, and financial policies of the school.
  3. We agree that our child will be held subject to the rules and regulations of Christian discipline as practiced by this school.
  4. We request the loan of textbooks and instructional materials in accordance with Pennsylvania Act 195 and Act 90 for our child.
    Please note that all materials are approved by the Bible Baptist School prior to their use.
  5. We hereby give permission for any photographs or publicity involving our child while a student at BBS to be used in connection with publicity of BBS. 

 Signatures: Typing your name in the spaces below constitues your electronic signature.

Father's Signature
Mother's Signature
It is the policy of Bible Baptist School not to discriminate on the basis of an applicant’s race, color, sex (gender), or national or ethnic origin.