Lutheran Bible Institute in California

Understanding is the reward of faith; therefore seek not to understand that you may believe, but believe that you may understand. — St. Augustine

Lutheran Bible Institute's 50 year of history reflects its strong commitment to the Great Commission, biblical training and spiritual growth – equipping the saints to impact the world for Christ.

Admission Application

Please fill out and submit this using the button at the bottom.

Or if you prefer, you may print this file and send your application to:

Lutheran Bible Institute
5321 University Drive, Suite G
Irvine, CA 92612
(949) 262-9222
Fax: 949-262-0283
E-mail: Constance.Sorenson@lbic.org

Please Fill Out All Fields

#	Information	User
1	Social Security Number:
2	First Name:
	Middle Name:
	Last Name:
	Name Suffix:	Mr. Mrs. Ms. Dr. Jr. Other
3	Applying Term:
4	Gender:	Male Female
5	Other Names You Have Used:
	First Name:
	Middle Name:
	Last Name:
6	Birth Date (MM/DD/YYYY):
7	Age:
8	Legal Address: (Do not use P.O. Box or business address):
	Street:
	City:
	State:
	Zip:
	Country:
	I have lived at this address since (MM/DD/YYYY):
9	If you have lived at your present address fewer than two years, complete this section:
	State:
	From (MM/YYYY):
	To (MM/YYYY):
	State:
	From (MM/YYYY):
	To (MM/YYYY):
10	Mailing address (please change if different from legal address above):
	Street:
	City:
	State:
	Zip:
	Country:
11	Telephone Numbers:
	Home:
	Business:
	International/Out of U.S.A.:
	FAX (Facsimile) Number:
12	Place of Birth:
	City:
	State:
	Country:
13	Last High School Attended:
	Date Last Attended (MM/YYYY):
		Attended an Orange County High School Attended a CA High School Outside of Orange County Out of California Out of U.S.A. Did not attend High School
14	Last College attended:
	Date Last Attended (MM/DD/YYYY)
		Attended a California Community College (CCC) Attended a California State University (CSU) Attended a University of California California Private or Other University Out of California Out of U.S.A. Did not attend College
15	My present stay in California began (MM/DD/YYYY):
16	Were you, your spouse, or your parent on fulltime active military duty or discharged during the last 12th months?	No Yes
		Yourself Spouse A Parent Active military duty began in California on (MM/DD/YYYY):
17	If you are 19 years of age or older, answer the following questions about yourself. If you are under 19 years of age, answer the question about your parent(s).
	Have you, (or if you are under 19, have either of your parents), ever registered to vote in a State OTHER than California?	No Yes
		If Yes, what year (YYYY)?
	Have you, (or if you are under 19, have either of your parents), ever filed a legal action in a State OTHER than California?	No Yes
		If Yes, what year (YYYY)?
	Have you, (or if you are under 19, have either of your parents), ever attended a non-California college/university as a resident of that state?	No Yes
		If Yes, what year (YYYY)?
	Have you, (or if you are under 19, have either of your parents), filed as a Non-Resident for California State Income Tax purposes?	No Yes
		If Yes, what year (YYYY)?
18	Complete this question only if you are under 19 and have never been married.
	Name of Parent/Legal Guardian:
	Relationship to you:	Father Mother Legal Guardian Other
	This person is a:	U.S. Citizen Permanent Resident Alien Other
	Last state of residence for this person:
	From (MM/YYYY):
	To (MM/YYYY):
19	Are you a United States Citizen?	Yes No
20	If you are not a United States Citizen, please complete visa type:
	Permanent Resident Temporary Resident (Amnesty) Refugee Student Visa (F-1 or M-1 Visa) I-20 to be issued by Concordia University/L.B.I. I-20 has been issued by other institution Tourist (B-1/B-2) Other	School Granting Visa: Visa Type: Visa Number: Issue Date (MM/DD/YYYY): Expiration Date (MM/DD/YYYY):
21	Ethnic Identity:
22	Educational goal:
23	Primary Language:
24	If English is your second Language:	No Yes
	Do you have trouble speaking English or understanding spoken English?	No Yes
	Do you have difficulty reading or writing English?	No Yes
	Do you plan to take English as a Second Language classes at another school?	No Yes
25	Educational Status:
	Year Degree was received (YYYY):
	If you are currently enrolled in K-12, enter anticipated high school graduation date (MM/DD/YYYY):
26	Enrollment Status:
27	College units or degree completed by first day of this term:
28	Major:
29	Employer:
30	E-mail Address: