Enrollment Confirmation Form

Intent to Enroll Form

Congratulations on your acceptance at Elim Bible Institute and College! Your next step in the admission process is to complete this form indicating your intent to enroll.

If you have questions, please contact the Admissions Office at 585-582-8260 or admissions@elim.edu.
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Confirm your Intent to Enroll*

I intend to enroll at Elim.I do not intend to enroll at Elim.
Please confirm which program you intend to enroll in:*

Spiritual Enrichment CertificateLaunch Certificate ProgramA.A.S. in Biblical and Theological StudiesBachelor of Science (BS) in TheologyBachelor of Science (BS) in Business ManagementChurch Admistration Certificate ProgramLaunch a New Non-Profit Organization Certificate ProgramUndeclared
If you selected the Launch Certificate Program, please clarify which concentration you wish to enroll in:

Worship LeadershipMissionsSpiritual FormationYouth MinistryCrossroadsCollege PrepTheology and Biblical Studies (Offered Fall Semester Only)Business
If you selected the Bachelor of Science in Theology, please clarify which concentration you wish to enroll in or if you wish to minor in Business:

Pastoral MinistryYouth MinistryWorship LeadershipMissionsUndecided - I will choose concentration during Sophomore yearMinor in Business - 18 credits in Business will be required
Please confirm which semester you plan to enroll for:*

Spring, 2025Summer, 2025Fall, 2025
Please check the below box to confirm:*

I affirm I have familiarized myself with the Student Handbook.
Would you like to pay your Reservation Deposit now?*

YesNo
Signature*

Clear
Can you tell us why you do not intend to enroll at Elim?

I will be attending another college.I've decided to work this year instead.I can't afford to attend Elim right now.My circumstances have changed, preventing me from attending.Other
Please note: The reservation deposit is non-refundable at all times. For more information, please see the Academic Catalog (available at www.elim.edu) or contact the Accounting Office at accounting@elim.edu.

Please verify that you are human*
Should be Empty: