Online Pre-Registration MBI Online Application Form Apply as early as possible. Your application must be approved for First Semester 2022-23 classes by Registration Night, August 23, 2022. Approved students are required to sign up for first semester classes on Registration Night. Step 1 of 3 33% Classification: I plan to enroll: Check all that apply(Required) Fall Spring Full-Time Part-Time Audit Only Name First Middle Last Suffix Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary ContactPreferred Contact Home Mobile Work Date of Birth MM slash DD slash YYYY Current AgeEmail Fax PhoneCity/State of Birth Social Security Number XXX-XX-Racial/Ethnic Identification:(Required)SelectAmerican Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteOtherGender Male Female Church you currently attend Church Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Title(Required) Minister Pastor Reverend Mr. Ms. Mrs. Dr. Church Number(Required)Are you a born-again believer?(Required) Yes No Date of Baptism MM slash DD slash YYYY List any activities or ministries you participate in at church:Check all that apply Single Married Separated Divorced Widowed If married and have children, please complete the following:Name of Spouse First Last Name of Children and AgesDate of High School graduation or GED MM slash DD slash YYYY List any extracurricular activities, honors, or awards received: List any Colleges you’ve attended:City, State, Dates Attended, Hours, and DegreeHave you ever been on probation or dismissed from any school or college? Yes No “If yes, please attach explanation.” Drop files here or Select files Max. file size: 1 GB. Educational ObjectiveSelect the option that applies: Two year Biblical Certificate Program Three year Standard Bible Curriculum To be qualified to enroll in a degree granting School of Biblical Theology How did you first learn of Manna Bible Institute?(Required) Who or what influenced your decision to apply to Manna Bible Institute?(Required) What are your educational or ministry goals?(Required) How will Manna Bible Institute help you meet those goals?(Required) Personal InformationList any ministry experience or training you may have.Have you been a user of tobacco, alcohol, or illegal drugs in the past three months? Yes No “If yes, please attach an explanation.”Max. file size: 1 GB.Have you visited Manna Bible Institute? Yes No Do you have a Manna Bible Institute catalog? Yes No I certify that the above statements are correct and complete. I am earnestly seeking God’s will for my life, and sincerely interested in a Christian education that can prepare me for Christian service. I understand the institute has standards of moral conduct set forth in the school catalog and student handbook, that I must pledge to abide by while enrolled. I am also aware that Manna Bible Institute makes no guarantee that any state program will accept credit earned at the Institute and employment is not guaranteed.Name(Required) First Last Date of Submission(Required) MM slash DD slash YYYY Application Submission and FeePay Online(Required) Pay By PayPal Pay in Person Mail a check Total Δ Newsletter Sign up with your E-mail Username Email Password Sign Up Already have an account? Log in Should you have any questions or issues during the application process, please send us an email at mbimain@mannabible.net