Rising Men of Excellence Inquiry NBCUSA

Rising Men of Excellence Inquiry Form

Christian young men ages 17-40 who are recommended by NBCUSAINC President Dr. Jerry Young may qualify for a very important, valuable scholarship to attend the College of Biblical Studies (CBS). CBS is an accredited college headquartered in Houston with locations in Indianapolis and Fort Wayne, Indiana, as well as fully online program options. Because of the generosity of a supporter of the college, the "Dr. Jerry Young Rising Men of Excellence" scholarship program will cover all costs associated with tuition and fees for an associate or bachelor’s degree at CBS. Please complete the form below so we may provide you with more information:

First Name*

First Name

Last Name

Who referred you?

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Last Name

Mobile Phone*

CBS does not sell lists or publish personal information. This number will only be used to follow up with you on your interested in the program.

Church you are member of:

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Birthdate (MO/DY/YEAR)

Current Age

Your home address

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