LANDMARK BAPTIST BIBLE INSTITUTE-CANADA

ENROLMENT FORM

Date:

Division: Internet____ Extension School______ Correspondence______

Full Name: 

Street: 

City/Town/Village: 

Province/State:

Country:

E-mail Address:

Age:

Marital Status: 

Church Name:

Address:

Pastor's Name:

If Extension School - give Location:

Extension School's Teacher’s name:

Education: - Elementary: _____High School _____ College/University ______

Previous Bible Training:

I am applying for: 1 year course ______ 2 year course -- _____ 3 year course - _____

I agree that these courses are free of tuition but will give donations towards our school funds, as I am able: ________

(Some courses may require the purchase of textbooks in some cases. Students in correspondence must pay all postage of letters and examinations papers to our office. We will pay the postage of correspondence etc. back to the student. Extension Schools may send their correspondence in one package to save postage.)

Signature of Student:

Tell us a bit about yourself: ie. -How long a Christian - your Testimony, your preaching experience - your doctrinal stand: (if more room is needed include on separate sheet)

Mail this form to Landmark Baptist Institute-Canada, 48 Cobbler Crescent, North York, Ontario, Canada M3N 2Y7 or by e-mail- lbbi@rogers.com

Dr. D. Paul Tuck Sr. – President David Allen Shortt - Dean