Application for Admittance

Confidential Information
Has your personal life ever included any of the following? Check any/all that apply and provide an explanation below for those checked:

Use of non-medical drugsUse of tobaccoUse of alcoholic beveragesExpelled, dismissed, or suspended for academic and/or disciplinary reasonsSexual activity outside of marriageConvicted or accused of child molestationConvicted of a felony or misdemeanor
Explain any checked boxes

Educational Information
Type of Schooling:*

Home SchoolPrivate SchoolChristian SchoolPublic SchoolGEDOther
Graduation Year*
High School Attended*
Phone Number

Country CodeArea CodePhone Number
List schools attended after high school:
*Note: All applicants must have an official copy of their high school transcript and other college transcripts sent to the Office of Admissions at DBC.

Statement of Intent
"I do hereby make application for the Dayspring Bible College & Seminary and agree, if accepted, to cheerfully abide by all rules and regulations and cooperate fully in every respect in advancing the Christian testimony of the Dayspring Bible College & Seminary. I have read the Catalog and Student Handbook and am in full agreement with its policies, procedures, and other information contained therein."
Student Signature*
*Entering your name in the field above qualifies as your electronic signature.
Date*

MonthDayYear
A $60 non-refundable fee must be submitted with the application. You will be redirected to a payment page upon completion of this form.
A $60 non-refundable fee must be submitted with the application. Please Select Payment Method:*

Credit CardCheck/Cash

Please make check payable to, "Dayspring Bible College," and mail to:

27875 N. Fairfield Rd. Mundelein, IL 60060

*Cash must be dropped off in-person at the school.
Should be Empty:

Personal Information