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Association of Accredited Bible Schools and Teachers
Member School Information Report
Please complete the entire form.
School Name _______________________________________________________ Year Founded _____________
Mailing Address ___________________________________________________
Email __________________________________________________________
Web Site _________________________________________________________
School Phone __________________________________________
City ____________________________________ State _______________ ZIP ___________________
Street Address (if different from above) _________________________________________________
Sponsoring Church (if any) _______________________________________________________________
Church Phone ___________________________ Pastor _________________________________________
Pastor E-mail Address ___________________________________________________________
Administrator/Principal ______________________________________________________________
Administrator/Principal E-mail Address _________________________________________________
Administrator’s Home Phone ______________________________
Elementary Principal ____________________________________________
High School Principal ______________________________________________
Preschool/Child Care Director ______________________________________________
School Secretary ______________________________________________________
Was your school a member during the 2002-2003 school year? (Circle one) Yes No
List the number of students in your school or Home School in each age or grade and totals as indicated below.
Preschool (PS) Junior High (JH) Senior High (SH)
Elementary (EL)
K5 ___________ 1st __________ 2nd ____________ 3rd ____________ 4th ____________
5th ______________ 6th ______________ Total _______________________
Junior High (JH)
7th _________________ 8th _________________ Total _________________
Senior High (SH)
9th ______________ 10th _____________ 11th _____________ 12th ______________ Total _________
PS Total ____________ EL Total ____________ JH Total ___________ SH Total ___________
Total Student Enrollment (PS-12) ................................................................. __________________
Total Home School Division Student Enrollment (PS-12) .................. ....... __________________
Total Faculty (full- and part-time teachers, administrators, coaches, etc.) ..... __________________
Grand Total (student enrollment plus faculty) .................................................. __________________
What best describes your school?
_____ Individualized (ACE, Alpha Omega, etc.) _____ Traditional (BJU Press, A Beka Book, etc.)
_____ Video: A Beka _____ Other ____________________ _____ Satellite: BJ LINC _____
Other _______________________ Combination:_________________________________
Does your school offer: Legislative Information:
Special education program? _____ Yes _____ No U.S. Congressional district number _____________
Home school division? _____ Yes _____ No
U.S. Congressman’s name ____________________________________________
Boarding school? _____ Yes _____ No
We are in complete agreement with the above ODB, Statement of Faith and the Membership Statement.
Signed _________________________________________
Title _________________________________________
Date _________________________________________
Schools should complete this entire form and return it with their dues ($2.50 per student and faculty member) to the ODB, National Office.
Our Daily Bread, Missions
Association of Accredited Bible Schools and Teachers
P.O. Box 1934, Redmond, OR 97756
Phone: (541) 383-4840
E-mail: Contact Us