South Houston Bible Institute
Distance Learning Enrollment Form

To register via email for one or more of the classes offered by South Houston Bible Institute, please fill out the following form completely. Upon completion an email will be sent to SHBI.

* denotes required fields

Last Name:*
First Name:*
E-Mail Addr:*
Street Address:*
City:*
State:*
ZipCode: *
Country:*
Phone (Hm):* Enter phone # or the word none.
Phone (Wk):* Enter phone # or the word none.
Sex: * F=Female; M=Male
Marital Status:* D=Divorced; M=Married; S=Single; W=Widowed
Race:* A=Asian; B=Black; H=Hispanic; I=American Indian; O=Other; W=White
Church Affiliation: *
How did you first hear of SHBI?
Do you agree to apply yourself to the studies and to cooperate with the school administration and instructors by being regular in your studies, preparing your assignments in reasonable time and conducting yourself in a Christian manner?*
Yes

 

Select the course you wish to enroll in for grade credit.