ALUMNI OFFICE

Alumni Student Referral Program

Each One Reach One

Please complete the following form for any prospective students. Keep in mind that the goal of this program is to encourage passionate, Christ-centered students to apply to LBC | Capital as they seek to follow God’s calling. Once you submit the required information, someone from LBC | Capital will provide appropriate follow-up with the student(s) you recommended.

YOUR INFORMATION

What year did you graduate from LBC | Capital or WBC/CBS? (Most recent graduation year)*

By clicking this box, you confirm that you are an alumnus/a of Lancaster Bible College | Capital Seminary & Graduate School or Washington Bible College or Capital Bible Seminary

YOUR Name:*

First Name

Initial (optional)

Last Name

YOUR Phone Number*

YOUR Mailing Address:*

Address Line 1

Address Line 2

City

State

ZIP Code

Occupation*

YOUR Email Address:*

PROSPECTIVE STUDENT(S) INFORMATION

How many students are you referring? (max 3 per form)

1ST STUDENT

Name*

First Name

Initial (optional)

Last Name

Where would they like to study?*

What type of education/degrees has the student already earned?*

Which level of education will they pursue at LBC | Capital?*

Student Phone Number:

Student Email Address:

Student Home Address:

Address Line 1

Address Line 2

City

State

ZIP Code

2ND STUDENT

Name*

First Name

Initial

Last Name

Where would they like to study?*

What type of education/degrees has the student already earned?*

Which level of education will they pursue at LBC | Capital?*

Student Phone Number:

Student Email Address:

Student Home Address:

Address Line 1

Address Line 2

City

State

ZIP Code

3RD STUDENT

Name*

First Name

Initial

Last Name

Where would they like to study?*

What type of education/degrees has the student already earned?*

Which level of education will they pursue at LBC | Capital?*

Student Phone Number:

Student Email Address:

Student Home Address:

Address Line 1

Address Line 2

City

State

ZIP Code