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APPLICATION DISCLAIMER AND ACKNOWLEDGEMENT

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to accept me, or for discharge should I become a student.

I authorize any person, organization or company listed on this application to furnish you any and all information concerning my character, previous employment, education and qualifications for studentship. I also authorize you to request and receive such information.

In consideration for my school acceptance, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added or interpreted at any time, at the school’s sole option and without prior notice to me.

I hereby agree that my enrollment at Community Bible Institute and Seminary Brevard Inc., may be terminated in the event that I am in breach of any of the following infraction:

Failure to meet financial obligations as a student

Unauthorized dissemination of the institution's information

Unauthorized soliciting

Disruptive and or indecent behavior during class sessions

I acknowledge that I have been advised that this application will remain active from the date it was signed.

I hereby agree to release CBISB Inc.from any legal action and hold this Christian institution harmless.

This a legal binding contract.

APPLICANT WAIVER

(All applicants must type their name, select date and submit this form with the application form)

First Name:

Last Name:

Company:

Email:

Phone:

Address 1:

Address 2:

City:

State:

Zip:

Comments:

Type your name to indicate you've read and agree with the disclaimer.

Select date you read and agreed with the disclaimer.

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