RBC Application

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This application will not be processed until all supporting forms and payments are received in our office.

Referrals
Your application will not be complete until we receive both a Personal and a Minister’s Referral for you.
2
Application Guidance
1. We encourage you to apply early to help secure your place in the course.
2. We recommend that you allow about 30 minutes to complete the application form.
3. Please answer all applicable questions.
4. You will be required to pay the £50 application fee.
5. Use the digital signature pads to sign all forms.
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Campus Location* This field is required.
London
North West
4
Name* This field is required.
Dr.
Dr.
Miss
Ms.
Mrs.
Mr.
Title
First Name
Surname
5
Address* This field is required.
Street Address
Street Address Line 2
Town
County
Postcode
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Mobile Phone* This field is required.
Country Code
Phone Number
7
Email Address* This field is required.
example@example.com
8
Gender* This field is required.
Male
Female
9
Date of Birth* This field is required.
Date
Year
Month
Day
10
Marital Status* This field is required.
Single
Dating/Engaged
Married
Separated
Divorced
Widowed
11
What is your nationality?* This field is required.
English
Welsh
Scottish
Northern Irish
British
Other
12
Please describe
13
What is your ethnicity?* This field is required.
Asian or Asian British
Black/ African/Caribbean/Black British
Mixed/Multiple ethnic groups
White
Other ethnic group
Prefer not to answer
14
Please describe
15
Can you read, write, and comprehend the English language?* This field is required.
YESNO
16
Are you Born-Again (saved) as understood in Romans 10:8-10?* This field is required.
YESNO
17
What year were you born again?
18
Are you baptised in the Holy Spirit with the evidence of speaking in tongues as in Acts 2:2-4?* This field is required.
YESNO
19
Passport & Visa* This field is required.If you are a UK citizen, please attach a copy of your passport. If you are not a UK citizen, please attach a copy of your residence card.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
20
Passport-Sized Photo* This field is required.Please attach a recent (within 3 months) passport-sized photo of yourself.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
21
Name of Referee for Personal Referral* This field is required.
Dr.
Dr.
Miss
Ms.
Mrs.
Mr.
Title
First Name
Surname
22
Email Address of Referee* This field is required.
example@example.com
23
Name of Referee for Minister's Referral* This field is required.
Dr.
Dr.
Miss
Ms.
Mrs.
Mr.
Title
First Name
Surname
24
Email Address of Referee* This field is required.
example@example.com
25
Are you currently attending a local church?* This field is required.
YESNO
26
Please explain why you are not currently attending a local church.
27
Church Name
28
Church Website* This field is required.
29
Pastor's Name
Pastor
Pastor
Dr.
Miss
Ms.
Mrs.
Mr.
Title
First Name
Surname
30
Pastor's/Church Email Address
example@example.com
31
How long have you been attending this church?
32
Are you a lead or supportive pastor or minister in your local church?
YESNO
33
What is your position in your local church?
34
Do you have any disabilities that would require special facilities?* This field is required.
YESNO
35
Please explain:
36
Please list the person to notify in case of emergency:* This field is required.
First Name
Surname
37
Emergency Contact's Phone Number* This field is required.
Country Code
Phone Number
38
Upon acceptance into our RBC programme, I understand that all information contained in this application will be kept as part of my permanent file, and will be shared with RHEMA Bible College affiliates to include RHEMA USA and RHEMA Europe.* This field is required.
I understand and consent.
39
I, the undersigned, grant full and complete permission to RHEMA Bible College, its employees or designated, or any related or consulting physician to render or give emergency medical aid, care, treatment, or assistance that could or would be deemed required or necessary. This consent I give freely and voluntarily, fully knowing and understanding all the above and its effect upon me.* This field is required.
I understand and consent.
40
I, the undersigned, grant full and complete permission to RHEMA Bible College, its employees or any persons they choose, to take, keep on file and use in publications and on social media platforms, any photos, video recordings or audio recordings of me while involved in any RHEMA Bible College associated event including both class and non-class times.* This field is required.
I understand and consent.
41
I, the undersigned, understand that by submitting my application for Rhema Bible College that I give RUKI/RBC permission and consent to send emails with information regarding my application, ministry and personal referrals, and anything else that pertains to my RBC application.* This field is required.
I understand and consent.
42
RUKI/RBC uses MailChimp to send emails. By consenting to receive emails from RUKI/RBC you are giving consent to RUKI/RBC to share your name and email with MailChimp.You may unsubscribe from these emails at any time by clicking on the unsubscribe button at the bottom of the emails or by contacting the RUKI/RBC office at info@rhemauk.com. A link to our Privacy Policy can be found at the bottom of all website pages.
I want to receive emails from RUKI/RBC informing me of other events and updates.
43
I hereby state that all the information contained on this application is correct and true. If RHEMA Bible College is notified that any of the information contained on the application is false, it will be grounds for immediate dismissal.* This field is required.
Clear
44
Date* This field is required.
Date
Year
Month
Day
45
Personal Testimony* This field is required.Please write your personal testimony. The content should include your salvation experience, your current commitment to God, why you feel God has directed you to apply to RHEMA Bible College and what you hope to gain from attending. The admissions committee is looking primarily for content, but your grammar and presentation should be your best. Your testimony should be 300-400 words in length.
0/400
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How did you hear about RHEMA?* This field is required.
Current RBC Student
RBC Brochure/Advert
Social Media (Facebook, Instagram, etc...)
Other
47
Please specify:
48
A non-refundable application fee of £50 is required to submit your application.* This field is required.
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Total costGBP
RBC Application Fee
£50.00GBP+
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Total cost £0.00GBP
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First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
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An interview may be requested as a part of your application process.

Not everyone who applies to RBC is accepted.

If you have any questions, please email us at info@rhemauk.com.
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