Heartland Growth Track / North Central Indiana Bible College Application 2021/2022
This is the online application for those that want to get Bible college credit for attending the Heartland Growth Track.  Please fill it out honestly.

The answers listed here are confidential and will only be viewed by the necessary staff of Church of the Heartland or North Central Indiana Bible College
Sign in to Google to save your progress. Learn more
Email *
Last Name *
First Name *
Middle Name *
Address *
City *
State *
Zip Code *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Citizenship *
Marital Status *
Education (names of schools, dates attended, degrees earned) *
Do You Have A Criminal Record *
Criminal Record Explanation If Necessary
Name Of Church You Currently Attend *
Pastor's Name Of Church You Currently Attend *
Phone Number Of The Pastor Of The Church You Currently Attend *
Email Address Of The Pastor Of The Church You Currently Attend - They Will Be Sent A Pastoral Recommendation (A Pastoral Recommendation Is Required For All Bible College Students) *
Date You Committed Your Life To Christ *
MM
/
DD
/
YYYY
Have You Been Active In Your Local Church *
Have You Already Been In Ministry In A Full-Time Or Part-Time Position *
Have You Ever Been Diagnosed With A Mental Illness *
Do You Currently Use Tobacco *
Have You Ever Abused Alcohol *
Have You Ever Used Illegal Drugs *
Have You Ever Been Involved In Homosexuality *
Have You Ever Been Involved In The Occult *
Your View On The Bible *
Growth Track / NCIBC Code Of Conduct *
Required
 I have checked the above boxes and understand what I am committing to.  I understand that by checking this last box I will be held accountable for my life and actions.   *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms