Registration Information/Computer Use Agreement

First Name:
Middle Name:
Maiden Name:
Last Name:
CURRENT ADDRESS AND TELEPHONE NUMBER (IF CHANGED RECENTLY)
Mailing Address:
City:
State:
Zip:
County of Residence:
Cell Phone #:
Home Phone:
CURRENT DEGREE PLANS
Month and Year of Expected Degree Completion (If known, give projected date.):
Degree:
RELIGIOUS ACTIVITY INFORMATION(If not applicable, indicate "N/A")
Denominational Preference:
Name of Church of which You are a Member:
City and State Where Church is located:
Name of Pastor:
Are you presently serving on church staff?:
If yes, in what position?:
Have you accepted a call (full-time or part-time) to a church-related location?:
If yes, please list area of ministry (i.e., missions, youth, music, children's work, etc.):
COMPUTER USE AGREEMENT
All students who use campus-owned computers are required to read the following statement related to acceptable computer use: BLUE MOUNTAIN COLLEGE ACKNOWLEDGEMENT AND AGREEMENT. I will read Blue Mountain College's Acceptable Computer Use Policy and agree to its requirements, as periodically amended. Policy 2.22
I agree:
Yes
Verify:
Please enter the validation code you see displayed above.