Application for Admission to Online Courses
E-mail Address
First Name
Last Name
Middle Name
Type Of Student:
Status:
Semester
Year You Will Begin
Housing
Intended Major
Permanent Address
City
State
Zip/Postal Code
Country
Home Phone
Cell Number
Current Age
Gender
Marital Status
Race
Citizenship and Residency:
Are you a Christian?
Please explain how you became a Christian in the field provided.
Current Church You Attend:
Pastor's Name:
City
State
Your Father's, Guardian's or Husband's Name:
Phone Number:
Your Mother's or Wife's Name:
Phone Number:

Please list the most recent high school you attended and all colleges that you attended. Please arrange to have one copy of each official transcript and ACT or SAT scores sent directly to the office of admissions.

Name of the First Institution
City
State
Dates of Attendance
Name of Diplomas Awarded
Month/Year of Graduation
Name of Second Institution
City
State
Dates of Attendance
Name of Diplomas Awarded
Month/Year Graduation
Name of Third Institution
City
State
Dates of Attendance
Name of Diplomas Awarded
Month/Year of Graduation
Reference - Friend Name
Phone Number
  • All of the information and statements on this application are complete and accurate to the best of my knowledge.

REMINDER: The online application is only the first step in the application process. A link will be provided to guide you after clicking “continue” below.