Office Use Only

Date received:

Application for Admission to

Redeemer Biblical Counseling Training Institute
3890 Moore-Duncan Hwy, Moore, SC 29369

Fee paid:

Date of application: ______________________

Voice: 1-864-574-1661
Fax: 1-864-574-1644

Personal Information:
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City: _________________________________________ State: _________ Zip _____________
Phones: Home: (_____) ____________________ Work: (______) ________________________
Mobile: (______) _________________ Email:________________________________________
Church Information:
Name of the church where you are a member: ________________________________________
Address: ______________________________________________________________________
City: _________________________ State: _______Zip: ___________
Pastor’s Name (If you are not the pastor): ____________________________________________
Pastor’s Phone: (____)______________________
Biographical Information: (Please type answers 2 –5 on another sheet)
1. For which program are you applying? ___Two Year Program ___One Year Pastors Program

2. Tell us something about your leadership role.
3. Explain why you wish to study at RBCTI.
4. How and under what auspices do you plan to use the training you will receive?
5. Briefly describe your doctrinal position.
If your application is accepted you will be informed of the date and time when your personal
interview will be held.