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User Registration

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Name *

Username *

Password *

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Email Address *

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Student Application

Choose a Program of Study (required)

Last Name (required)

First Name (required)

Address 1 (required)

Address 2 (required)

City (required)

State / Province (required)

Country (required)

ZIP (required)

Home Phone (required)

Cell Phone (required)

May we send you texts? (required)

Are you 18 or older? (required)

Are you a U.S. Citizen? (required)

Is English your first language? (required)

Gender (required)

Birth Date (required)

Marital Status - used for statistical purposes only (required)

Ethnicity - used for statistical purposes only (required)

Have you previously applied for admission at this college? (required)

If so, when? (required)

Please list family members who attended this college. (required)

Do you consider yourself a Christian? (required)

Do you attend church? (required)

How often do you attend church? (required)

Church Denomination - select which best describes you (required)

Church Name, Address, City, State / Province, Country, ZIP - enter NA if this item does not apply to you (required)

Describe how and why you came to believe Jesus’ teachings and His divinity. (required)

Describe the process of your spiritual growth over the past three years. (required)

Do you have a high school diploma or equivalent (required)

Which of the following awarded your diploma or equivalancy credentials? (required)

Please give awarding Institution Name, Address, City, State / Province, Country, ZIP (required)

Graduation date - use future date if still in high school (required)

If you have attended other colleges, please enter College Name, Address, City, State / Province, Country, ZIP, start and end years, and any degree earned - enter NA if this item does not apply to you (required)

Have you ever been dismissed, or placed on academic or disciplinary probation? (required)

If YES, please explain - enter NA if this item does not apply to you (required)

SAT Date (required)

ACT Date (required)

TOEFL Date (required)

In the past two years, have you used illegal drugs? (required)

In the past 7 years, have you been convicted of a crime other than a traffic violation. (required)

If YES to either of the above questions, please give a full description, including date(s) and disposition of case - - enter NA if this item does not apply to you (required)

Signature - use format //First Name, Last Name// (include slashes) (required)

Date signed (required)

Social Security Number - no dashes or spaces - use format 1234567890 (required)

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