East Texas Baptist University

FRESHMAN: Freshman status is given to students who have completed high school/GED requirements and who have not attended college on a full-time basis, although college hours may have been earned through dual credit, AP exams, or summer course work. Acceptance is based on ACT - 18 or above (excluding writing); or SAT - 860 or above (excluding writing);or graduation in top 40% of class from an accredited high school.

High School Attended

Name

City, State

Date of Graduation January February March April May June July August September October November December 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038

College (if you have dual enrollment classes):

TRANSFERS: Transfer status is given to any student who has attended college after graduating from high school or obtaining a GED. Transfer students with less than 24 transferable hours must also meet admissions standards for freshmen students — see above. Students who have attended ANY college must have official transcripts from each college sent to the ETBU Admissions Office.

College currently attending

Name

City, State

Dates Attended January February March April May June July August September October November December 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 (From)

January February March April May June July August September October November December 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 (To)

Are you on Academic Probation? Yes
No

Are you on Academic Suspension? Yes
No

Are you on Disciplinary Probation? Yes
No

Are you on Disciplinary Suspension? Yes
No

Do you, your spouse, or your parent(s) work for Pilgrim Industries? Yes No
If yes, please provide the employees name and social security number
Employee's Name	Employee's SSN

CHRISTIAN LEADERSHIP SCHOLARSHIP SECTION This scholarship is offered to students who demonstrate Christian leadership qualities. Please indicate any involvement in the following ministries and list information under each area for ETBU to determine the level of scholarship for which you may qualify. Please be very specific with the information and provide documentation if needed. If additional activities are completed after this application is submitted, you may send updated information to the Admissions office. Campus or Church Leadership This includes any leadership position held in either the local church or campus ministry. This would also include, but is not limited to, FCA, First Priority, Younglife, church leadership council among others.

Baptist Life and Leadership Training This would include, but is not limited to, Super Summer Schools of Evangelism, FAITH training, Jay Strack’s Student Leadership University among others. This would also include Baptist Life programs such as ACTEENS, Youth Speaker’s tournament, Challengers or AWANA. Please provide any documentation of completed programs and/or awards received (i.e. Timothy Award, Meritorious Award, etc.).

Servant Ministry This would include, but is not limited to, mission trips (both foreign and domestic), Frontliners, Worldchangers, YWAM, and other benevolent ministries. Choir, drama and other similar tours will only be considered if there is another ministry component along with the performance.



Please provide the following in case clarification and/or verification of Christian Leadership Information is needed: Name of Youth Minister/Pastor Phone

Honor Agreement

East Texas Baptist University emphasizes high standards of personal conduct and moral character by all students. ETBU is committed to providing and maintaining an environment conducive to the integration of faith and learning, leadership development and academic excellence.

For Example,

• ETBU maintains a campus-wide curfew
• All students are required to attend Chapel
• Religion courses are required of all students regardless of major

Therefore, if accepted for admission, I promise to act inaccordance with the student handbook, refraining from the use of alcohol, illegal drugs, tobacco, possession of obscene or pornagraphic material and will abstain from immoral sexual behavior. I understand that signing this statement is a condition of my acceptance to East Texas Baptist University.

Signature Statement - Please read statement and check box to validate.*

I certify that I have read, understand and agree to adhere to the HONOR AGREEMENT listed above. I grant ETBU permission to verify the information contained in this application. I consent to the release of information concerning my academic and/or financial status to scholarship donors. I understand that if any information on this form is found to be inaccurate or incomplete, it will be sufficient cause for rejection or dismissal.