IMB Spouse Training Application

This application is restricted to those applying for online IMB Spouse Training.

Applicant Information

Prefix

First Name

Middle

Last Name

Preferred First Name

Other Last Names Used

Birthdate

Email Address

Gender

Addresses

Permanent Address

Country

Street

City

Region

Postal Code

Is your mailing address the same as permanent?

Yes

Mailing Address

Country

Street

City

Region

Postal Code

Telephone Numbers (At least 1 required)

Home

Mobile

Citizenship Information

Primary Citizenship

Dual Citizenship

Residency Status

U.S. Permanent Resident

Are you Hispanic or Latino?

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Social Security Number (omit dashes) Privacy Protection Policy

We are committed to protecting your privacy.

Upon receiving the secure transmission of your Social Security Number, it is immediately encrypted. Only the last 4 digits of your Social Security Number are available in plaintext for identification and account matching purposes. Your Social Security Number is available for decryption only by those officials who oversee the automated loading of personal information into student information systems, and only for that limited purpose.

Our databases are actively monitored and are firewalled to ensure the protection of your personal information, and we employ all industry-standard safeguards.

Church Address Street

Church City

Church State

Church ZIP

Denomination

Pastor Name

Pastor or Church Email

Student Statement

In making application to become a student at Southern Seminary & Boyce College, you are asked to affirm the following statements:

Every student must be a believer, by faith, in the gospel of Jesus Christ for acceptance. I affirm that I have repented of sin and turned to Jesus, by faith, for the merit of his life, death, and resurrection for my salvation.

I pledge myself to abide by all the regulations of the faculty and administration as stipulated in the Student Handbook; to seek in every way to protect the good name of the institution; to preserve and protect the physical properties of the Seminary and to cooperate with the various groups of the Seminary family in creating and maintaining a spirit of Christian fellowship throughout my student days. I understand the Seminary reserves the right to request a student to withdraw at any time.

I agree to the student code of conduct and to the statement above

In place of your signature, please type your full legal name: