High School Survey *Denotes Required Field * Title * First Name: * Last Name: * Current high school grade: Please select an option 10 11 12 Graduated High School * I am planning to attend a Bible college in the future. Please select an option Yes No Unsure * I am planning to apply to PRBI in the future. Please select an option Yes No Unsure * I am planning to apply to PRBI in the future. Please select an option Yes No Unsure Some things I am looking for in a Bible College are: Community Solid Bible Teaching Sports Music Missions opportunities Other * Some things I am looking for in a Bible College are: Community Solid Bible Teaching Sports Music Missions opportunities Other * * I would like more information on booking my free visit to PRBI and receiving the $500 Campus Visit Bursary. Please select an option Yes No * I have questions and would like someone from PRBI to contact me. Please select an option Yes No * I would like to receive a PRBI Viewbook. Please select an option Yes No * Phone #: ( ) - * Email: * Mailing Address: * Would you like to continue receiving PRBI mailings and other updates? Please select an option Yes No, please remove me from the PRBI contact list Please wait until you have seen the completion message before exiting this screen.
