GPBC | ENROLL

Digital Application

We are so thrilled that you have considered GPBC! If you are ready to enroll, please fill out the form below to get started.

First name

Middle Initial

Last name

Date of Birth

Address

City

State

ZIP

E-mail

Phone

Starting Semester

U.S. Citizen

Married Status

Have You Been Divorced

If married, name of spouse

Parental Info

Father

First name

Last name

Address

City

State

ZIP

E-mail

Phone

Occupation

Mother

First name

Last name

Address

City

State

ZIP

E-mail

Phone

Occupation

Are your parents in favor of you attending GPBC?

Academic Info

Type of School Attended

Highest Level of Education Completed

Name of High School (If Applicable)

List Any Degrees (If Applicable)

Date of High School Graduation or GED

Desired Program

Brief Salvation Testimony

Pastor's Info

First name

Last name

E-mail (Used to email Pastor's Recommendation Form)

Name of Home Church

Statement of Intent

In signing this application for admission to Great Plains Baptist College, I certify my willingness, if accepted, to cooperate with the purpose and standards of GPBC, abide by all policies of the college, subscribe to its doctrines, and cooperate fully in advancing the cause of Christ and the testimony of Great Plains Baptist College. Any falsification on any part of this application can result in cancellation of admission and/or dismissal from Great Plains Baptist College.

Student Full Name

Today's Date

Office Hours

Tues-Fri: 8:00am-5:30pm

Sat: 8:00am-1:00pm

Sun: Closed

Enrollment Form

Digital Application

Parental Info

Father

Mother

Academic Info

Pastor's Info

Statement of Intent