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Please note: After submitting this form, you will receive a confirmation that we have received your application. Your email address is a required field below.

The forms and information listed below must be sent to the Office of Admissions following the submission of this online application:

  1. Current High School Transcript
  2. SAT or ACT scores (if taken)
  3. Pastor's Reference Form (Click to download in PDF format)
  4. Christian Friend's Reference Form (Click to download in PDF format)
  5. One of the following two references:
    1. Academic Reference Form (Click to download in PDF format)
    2. Employer's Reference Form (Click to download in PDF format)
  6. College Transcript (for transfer students only)
  7. Optional: Photograph
  8. Application Fee of $25
  9. Autobiography

Click here to download a checklist (in PDF format) of the list above for your records.

PERSONAL DATA

* Last Name:
* First:
Middle:
* Gender: M F * Social Security Number:
* Home Address:
* Present Address:
* Birthdate:
* Birthplace (City):
* State:
* Email:
* Phone:
Cell Phone:
* Citizen of:
Country (if OTHER):
If OTHER, give type of resident:
Student Visa Permanent Visa Other
Check here if you are a resident alien.
(Please send a copy of your resident alien card.)
* Church Name:
* Denomination:
* Church Address:
* Pastor's Name:
* Phone:
* Have you accepted Christ as your personal Savior? Yes No
* Are you a member of a local church? Yes No
* Are you essentially in agreement with the doctrinal statement of the College? Y N
If no, please indicate the area:

FAMILY (If you are a married or independent student this section is optional.)
Father's full Name:
Living?
Yes No
Occupation:
Address:
Phone:
Mother's full Name:
Living?
Yes No
Occupation:
Address:
Phone:
If parents are divorced or separated, with whom do you live? Father Mother Other
Children in family other than yourself: Brothers? Sisters?
Has any relative attended LBC? Relationship: When?

EDUCATIONAL DATA
* Your purpose in wanting to attend LBC:
* Plan to enroll: Year Semester:
* Status:
* Degree/Certificate:
* Desired Area of Study:
Note: If you are uncertain as to which program to select, please choose either "Undecided" OR the program of most interest to you. Assistance will be provided by the College as you continue in the application process.
* High School Name and Address:
* HS Graduation Date (month/year):
* Course of Study:
List all colleges, universities, and community colleges attended (include dates and any degrees received):

Please request the institutions listed above to send official transcripts.
* Have you ever been dismissed or placed on probation? (If yes, please give a description in a separate email to admissions@lbc.edu)
Academic Disciplinary
Have you applied, or are you applying for admission to any other college? Yes No
If yes, where? (optional question, for record keeping)
* Who influenced you the most to consider LBC?

ACTIVITIES (This section is used to determine eligibility for scholarships.)
Varsity Sports in which you participated. (Put the number of years involved after each sport.)
Captaincy, letter earned, or awards? Yes No

Are you planning to participate in LBC's athletic program? Yes No

If yes, which sports are you interested in playing:

Men's Basketball Baseball Soccer Cross-Country Volleyball
Women's Basketball Cross-Country Soccer Volleyball
Musical Activities in which you participated: (Put the number of years involved after each activity.)
Do you plan to participate in LBC's music program? Yes No

If yes, name the activities: Conestogans (chorale) Handbells Concert Band
Flute Ensemble String Ensemble Community Orchestra

Do you play a musical instrument? Yes No
If yes, what instrument?
Other School Activities in which you participated: (Put the number of years after each.)
Debating
Drama
Magazine
Newspaper
Student Government
Yearbook
Other:
Church Activities in which you participated:
Community Activities in which you participated:
Honors/Awards/Leadership:

FINANCES

How do you plan to finance your first year in college?
Savings Parents Grants/Loans Part-Time Work Other

Are you eligible for any benefits?
Social Security Veterans Administration OVR Other

Have you filed the Free Application for Federal Student Aid (FAFSA)?
Yes Date: No (See instructions in LBC catalog)

LIFESTYLE STANDARDS

* Have you used tobacco, alcohol, or drugs in the past? Yes No

If yes, explain:

Please NOTE: During enrollment at the College, students must abide by the standards outlined in the Student Handbook. Students are required to abstain from the use of tobacco, alcohol and drugs.


PERSONAL TESTIMONY

The following questions are used to gather an autobiographical statement from you. Your autobiography will help us get to know you and also evaluate your writing skills. Please answer each question in paragraph form with a minimum 4 sentences each.

* Please tell us a little about yourself (include family background, school/employment experience, church/community involvement):


* Please tell us how you came to know Christ as your Savior (a clear salvation experience), and a little about your walk with the Lord:

 


* I certify that all statements I have made on this form are complete and true.
* Name: * Date:

* required fields


901 Eden Road, PO Box 83403, Lancaster, PA 17608-3403 · 717.569.7071 or 1.800.544.7335