Apply - BMI University

First Name

Last Name

Middle Name

Preferred Name

Address

City

State

Zip Code

Phone Number

Birthdate

Social Security Number

Gender

Marital Status

US Veteran?

Are You A US Citizen?

Country of Citizenship

Country of Birth

Religious Affiliation/Denomination

Home Church

When do You Plan to Enroll?

Degree of Interest

How Did You Hear About Us?

High School

High School Address

City

State

Zip Code

Did You Graduate High School?

If not a high school graduate, have you earned a G.E.D. certificate?

Colleges Attended

City/State

Dates Attended

College 2

City/State

Dates Attended

College 3

City/State

Dates Attended

Statement of Truth

By typing my name and checking in the box I, the undersigned, hereby state that the information contained in the application is true and correct. I have read, understood, and consent to the policies of BMI University. I understand that if BMI University is notified of any information contained in this application is false, it will be grounds for either denial of admission or immediate dismissal from BMI University.

Electronic Signature

Date

Please contact our office if you have any questions:

US Branch: 704-607-5540
East Africa Branch: +254-726-912577

We look forward to helping you begin your journey at BMI College & Seminary.