New Student Enrollment – Cumberland Baptist Institute

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Is your mailing address different than your home address? *

Date of Birth *

Primary Telephone Number *

Email *

Gender *

Marital Status

Tell us a bit about your educational background

Did you graduate highschool, complete a GED program, or homeschool program? *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Please enter the address where you attended high school or GED program. For home school students please enter the address of the home school curriculum issuing authority.

Do you currently have a home church?

Name of church that preformed your baptism

When were you saved?

Class Selection

Please select a class tier model:

Tier 1 is completely on-site. Tier 2 is real time distance via Meet.

Notice:

Please note that the classes with a (Alt) are subject to change depending on quantity of enrollment.

Notice:

Please note that the classes with “(A)” are subject to change depending on quantity of enrollment.

The reason for this is, any student enrolling as a 1st Year Degree student will be given first opportunity to enroll with this instructor. In the event nobody enrolls in a 1st year class then the enrollments will be merged to the alternate class.
You will be contacted about enrollments for any 1st Year/Alternate classes you select.

How would you like your class materials delivered?

Class materials: books, leaflets, handouts, etc…

Student Type

Please select your school of study.

Agreements

Do you agree with all of the ABA doctrinal statements?

Do you agree to abide by the Cumberland Baptist Institute code of conduct?

I realize studying at CBI is a privilege granted to me by her faculty and administration, as well as the Parkers Mill Road Baptist Church/West Somerset Baptist Church; this is not a right or duty on my part. I shall accept my responsibility to conduit myself in the best Christian exampleand diplomacy during my studies here. I shall freely dismiss myself should i become a source of contention or reproach upon the good name of the school and sponsoring church. If you agree with the terms and conditions please type your full name and click submit.