LIVING WORD
BIBLE COLLEGE
DLI # 0213392219317

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Please Use a Desktop Computer to Fill Out Application

CANADIAN STUDENT APPLICATION FORM

Name:

Address:

Date of Birth:

*Sex:

Telephone:

Email:

Birthplace:

Occupation:

*Marital Status:

Spouse Name (If Applicable):

Note: If your spouse plans to take classes at LWBC, please have him/her complete a separate application.

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NEXT OF KIN
In case of medical or other emergency, indicate name and telephone number of person to contact:

Name:

Telephone:

Relationship:

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SPIRITUAL INFORMATION

Home Church:

Address:

Head Pastor:

Denomination:

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MEDICAL INFORMATION

Provincial Health Card Number:

Province:

*Please list any medications that you must take on a regular basis:

*Have you ever received treatment for a social or a mental disorder?  If so, please explain.

*Please list any conditions or illnesses that you may have had.

We recommend that you have a medical checkup prior to arriving as a student at the Living
Word Bible College. Please notify us of any medical condition which may interfere with your
studies.

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FEE SCHEDULE
 

FULL-TIME STUDENTS

Application Fee (Canadian Students) $25.00
Application Fee (International Students) $100.00
 

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                                                                      SEMESTER 1                           SEMESTER 2
Tuition Fee & Room and Board             $ 5000.00                               $ 3000.00
 

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Note: International Students arriving with Sponsored financial support - Tuition &
Room/Board fees must be paid in full (entire year) by the first day of class.

Other Fees:
Official Transcript Fee
 
$ 20.00 per request

PART-TIME STUDENTS
Tuition Fee $500 / course
Audit Fee $200 / course)
 

Accommodations (Room and Board) for part-time students are available for a fee of $50
per day.
 

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PERSONAL REFERENCES
 

Two Personal References are required to be submitted using the forms below.
One must be completed by a Pastor, Youth Pastor or Christian Leader, and the other completed by
an Adult Christian friend who is not a relative.
The completed reference forms should be mailed directly to Living Word Bible College at:

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Living Word Bible College

Admissions Department

Box 969

Swan River, Manitoba

R0L 1Z0

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or emailed to  with the subject heading, "Personal Reference Submission".

* Required Fields