New Student Application

You may submit an online application or download an application.

Be sure to read and sign the payment agreement

Upon successful completion of your application, you will be redirected to our PayPal page.  Application fees must be paid for applications to be received.

New Student Registration

Personal Information

If not provided here must be provided directly to Registrar for tax purposes.
City
State/Province
Zip/Postal
Country

Church Information

Course Selection

Check all that apply. Contact the Academic Dean if you would like to take an online course or Faculty Directed Study.

Academic History

BEGINNING WITH THE MOST RECENT, LIST ALL SCHOOLS YOU HAVE ATTENDED, INCLUDING HIGH SCHOOLS, COLLEGES, AND UNIVERSITIES.
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB

Financial

I understand that I am registering for courses at Fredericksburg Bible Institute & Seminary (“FBIS”) and that I am fully responsible for the cost and expense of all tuition and fees. I understand and agree that by enrolling at FBIS, a student account has been opened in my name for the purpose of billing and collecting payment for educational expenses and that FBIS is thereby extending credit to me. I understand and agree that my registration and acceptance of these terms constitutes a promissory note agreement in which FBIS is providing me educational services, deferring some or all of my payment obligation for those services, and I promise to pay for those expenses. Moreover, I understand and agree to the following terms and conditions: 1. I acknowledge that I will not be allowed to register for a subsequent semester if there is an unpaid balance due for previous semesters. 2. I understand that FBIS will add a $10 late fee if installments as laid out in “Payment Breakdown” on p. 2 are not paid within 5 days of their respective due dates. 3. I understand that FBIS may withhold further services/issuance of documents until payment is rendered as agreed, including but not limited to grade reports, transcripts and diplomas. 4. I understand that to withdraw from a course, I must completely fill out an ADD/DROP form and have it signed by the Academic Dean. a. I understand that I will be entitled to a refund according only to what is set forth in the Tuition Refund Policy and that my enrollment ends only after my ADD/DROP form has been completed and turned in. 5. I understand and agree that FBIS may use a collection agency to collect the debt for any unpaid balance owed to FBIS. Such agency must abide by the Fair Debt Collection Practices Act. This account may be reported to the credit bureaus as allowed by the Fair Debt Credit Reporting Act, and may have a negative impact on my credit rating. 6. I understand that I am responsible for ensuring that my FBIS records include my current address, e-mail address, and phone number. I authorize FBIS and its contractors to contact me regarding my student account at the current or any future address, e-mail address, or phone number I provide. 7. I understand that if I do not sign and complete this Agreement, I will not be permitted to register for classes. 8. I agree to provide my Social Security number or taxpayer identification number (TIN) to FBIS upon request as required by the Internal Revenue Service (IRS) regulations for Form 1098-T reporting purposes. If I fail to provide my SSN or TIN to FBIS, I agree to pay any and all resulting IRS fines. 9. I understand that this Agreement may be modified by FBIS if the modification is signed by me. Any modification is specifically limited to those policies and/or terms addresses in the modification.
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