Please complete only if you are still in high school.
If both parents live together, only complete the father's address information.
Emergency Contact Information
In case of an emergency, please notify the following person if parent(s)/spouse cannot be reached.
Pastor & Church Information
Please complete only if not a member of First Pentecostal Church.
Please list all colleges and universities attended or attending.
Financial Obligation Contract
I agree to accept all debts incurred from Truth College at the Rock. I realize it is my responsibility to clear any amount owed to the college within forty-five days, unless other arrangements with the Finance Office have been made before the due date. I understand that if my financial obligations are not met, I will not be eligible for re-enrollment in Truth College at the Rock.
Please briefly answer these questions with one or two sentences.
Projected Major & Graduation
What major are you planning to pursue at Truth College at the Rock?
Release of Grades
The Privacy Act requires Truth College at the Rock to receive a written signature from the applicant before any grades may be released to anyone other than the student.
I authorize Truth College at the Rock to release my grades to:
If the student is still in high school, the parent(s) will receive a copy of the grades at the end of the module.
If applicant is not a member of the First Pentecostal Church, please have your pastor complete the form available on our website and email it to firstname.lastname@example.org.