Fill out this On Line application

OR

print this application, complete and fax to 828-754-5370


After completing and submitting your application either by phone, online, or fax:

We will need the results of two blood tests (HIV and TB) and during the months of October – March flu shot documentation.  The $250.00 Entry Fee is due upon arrival at Bethel and is non-refundable.

From time to time there is money given specifically to be put in a scholarship fund for those who have no way to pay the full Entry Fee. However, if money is available and you qualify to receive help you will be requested to make a partial payment. If you need more information on this you will need to contact the Office Manager at 828-754-3781 after submitting your application.


There are now two ways to pay your Entry Fee:

1. Mail a money order to Bethel Colony of Mercy, 1675 Bethel Colony Rd., Lenoir, NC 28645. If you are paying by money order please make sure you write the applicant’s name on the “For” line.

OR

2. Pay your entry fee online by selecting Take Action/Pay Entry Fee Online tab.