Online application

International Students

(Please complete the entire form.  Incomplete forms will be discarded.)

Please mail $35.00 Application Fee (non-refundable U.S. Funds)
(Applications will not be processed until this fee is received.  On-line applications will be held 30 days pending receipt of the fee.)

If you are citizen of the United States or Canada, or an eligible non-citizen, you must fill out the Regular Student Application instead.

Student Information
Name
First Name:
Middle Name:
Last Name:
Maiden Name:
Preferred Name:

Home Address
Address Line 1:
Address Line 2:
Country:
(if necessary)
Telephone: e.g. 011-81-92-620-241-0723
Preferred
Communication Method:






Facebook page

Alternative Communication Method:





Facebook page

 

Current Address (if different)
Address Line 1:
Address Line 2:
Country:

Telephone: e.g. 011-81-92-620-241-0723
At Current Address until:

*E-mail Address:


Social Security #:
(if applicable)


Date of Birth:

(month/day/year)

Gender:

Male Female

Marital Status: (optional)

Single Married Divorced Widowed 
Spouse's Name if Married: 
Ethnic Origin: (optional) Black or African American
Asian or Other Pacific Islander
Hispanics of any race
White

Country of Birth:

 
Country of Citizenship:


Religious Affiliation
Church Name:
Denomination:

High School/Church Activities/Honors:



Family Information

Father

Title: Mr.  Dr.  Rev. 
Other: 
Name:
Address Line 1:
(if different from yours)
Address Line 2:
Country:
Phone: e.g.011-81-92-620-241-0723
Occupation:
Attended Central: Yes No

Mother

Title: Ms.  Mrs.  Dr.  Rev. 
Other: 
Name:
Address Line 1:
(if different from yours)
Address Line 2:
Country:
Phone: e.g.011-81-92-620-241-0723
Occupation:
Attended Central: Yes No
If yes, Maiden Name: 

List Brothers & Sisters still at home.
(Name, Year of H.S. Graduation, Date of Birth) 


Admissions Information
High School
Name of School:
Address Line 1:
Address Line 2:
Country:
I did 
I will 
graduate on (date):  e.g. month/day/year
College 1
Name of School:
Address Line 1:
Address Line 2:
Country:
Dates Attended: From:    To: 
College 2
Name of School:
Address Line 1:
Address Line 2:
Country:
Dates Attended: From:    To: 

Year of Entry:

Fall Semester - August 
Interterm Semester - January 
Spring Semester - February 

Proposed Major:


Degree Sought:

Bachelor (4 years)
Associate (2 years)

I wish to participate in these activities at Central:

Choir/Chorus 
Band 
Drama 
Yearbook

I wish to participate in these collegiate sports at Central:

Basketball (men) 
Basketball (women)
Soccer (men) 
Soccer (women) 
Baseball (men) 
Softball (women) 
Golf (men)
Golf (women)
Volleyball (women)
Tennis (men)
Tennis (women)
Cross Country (men)
Cross Country (men)

How did you first learn of Central Christian College?

Explain what meaning the Christian faith has for you.
A profession of Christian faith is not required for admissions to Central Christian College. However, the College seeks to serve students who desire or appreciate a distinctively Christian educational environment.

Please list the names and full addresses (or email address for those outside of the U.S.) of two non-relative adults
to whom we may send our Personal Reference Form.
(examples: high school counselor or teacher, pastor, youth worker, or your boss)
Name 1:
Address Line 1:
Address Line 2:
Country:

Email:

Name 2:

Address Line 1:
Address Line 2:
Country:
Email:

I understand that withholding information on this application or giving false information will make me ineligible for admission. With this in mind, I certify that the above statements are correct and complete.

Applicant's "Signature":
(type your name)

Date:

Please send the $35.00 (in U.S. funds) fee for processing application to:


Office of Admissions 
Central Christian College 
P.O. Box 1403 
McPherson, Kansas  67460


To make a copy of this application for your records, 
push the "PRINT" button on your browser.

In accordance with federal laws and regulations, it is the intent of this college's policy on equal opportunity to comply with Titles VI and VII of the Civil Rights Act of 1964, Title IX of the Educational Amendments of 1972 Executive Order 11246, Section 504 of the Rehabilitation Act of 1973, and all related regulations.  Central Christian College does not discriminate against any student or prospective student on the basis of sex, race, handicap, religion or national origin in its educational programs or activities.  A complete notice of non-discrimination is printed on page 7 of the current Central Christian College Catalog.  Any persons having inquiries concerning this may contact:  Dean of Student Services at Central Christian College, (620) 241-0723.