Admissions Application Request

Thank you for your interest in GIAL. Please fill out the form below and submit comments or question(s) to GIAL by using the Comment box at the bottom of the form. Someone from our prospective student or admissions office will get back to you very soon via email.

Information that is red is required

Contact Information

First Name

Middle Name

Last Name

Nick Name

Email Address

Gender

Home Address

Country

Street 1

Street 2

Street 3

City

State

Zip Code

US Phone Number Ext:

Academic Information

Please list your intended Major

Choose a program of Study:

First term at GIAL?

Are you eligible for U.S. G.I.(military) education benefits?

Bible Hub website	Church/Minister/Pastor
College Fair	Employer or Mission Organization
Evangelical Missions Quarterly	FACEBOOK
Friend or relative	GIAL Alumni
GIAL Campus Visit Day	GIAL Cooperative Program
GIAL Faculty or Staff	GIAL website
Promotional Publication	RELEVANT mag (online or print)
Urbana Mission Conference	VetsGuide.com
I am a friend/relative of someone who may be interested in GIAL.	I am a recruiter/supervisor of someone who may be interested in GIAL.
I am requesting GIAL publicity materials for distribution at an upcoming event or events.

Contact Information

Home Address

Academic Information

Additional Information