Online application

By applying online, your $20.00 Application Fee is waived!

If you are NOT a citizen of the United States or Canada, and NOT an eligible noncitizen, you must fill out the International Student Application instead.
To make a copy of this application for your records,  push the "PRINT" button on your browser.

"*" designates a required field.  If non-applicable, please type "NA".

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

Home Address
* Number, Street:
* City:
* State/Province:
* Zip:
* Home Telephone: e.g. (620)241-0723
Cell Phone:
e.g. (620)241-0723
   
*Preferred Communication Method:






Facebook page


Screen Name
Service Provider

*Alternative Communication Method:





Facebook Page


Screen Name
Service Provider

Current Address (if different)
Address:
City:
State/Province:
Zip:
Telephone: e.g. (620)241-0723
At Current Address until:

*Email Address:

Parent(s) Email Address:




* Date of Birth:


* I am eligible for Veteran's Administration Benefits:

Yes No

* Gender:

Male Female

* Marital Status:

Single Married Divorced Widowed 
Spouse's Name if Married: 

* Country of Citizenship:

United States 
Canada 
Other: 
Eligible noncitizen 
Alien Registration Number: 

Ethnic Origin: (optional)

Are you Hispanic/Latino (including Spain)?
Yes No

Regardless of your answer to the prior question, please select one or more of the following ethnicities that best describe you:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

*Country of Birth: United States
Other:
Primary language spoken at home:
in high school:
English Spanish Other
English Spanish Other
*Have you ever been convicted of a felony?:
Yes No

Religious Affiliation
Church Name:
Denomination:
Address:
City:
State/Province:
Zip:
Pastor's Name:
Pastor's Phone Number: e.g. (620)241-0723
High School/Church Activities/Honors:

Family Information

Father

Title: Mr.  Dr.  Rev. 
Other: 
* Name:
* Address:
* City:
* State/Province:
* Zip:
* Cell Phone: e.g.(620)241-0723
Occupation:
* Attended Central: Yes No

Mother

Title: Ms.  Mrs.  Dr.  Rev. 
Other: 
* Name:
* Address:
* City:
* State/Province:
* Zip:
* Cell Phone: e.g.(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:
* City/State/Province/Zip:
* I did
I will 
* graduate on (date): 
High School Phone Number: e.g. (620)241-0723
Guidance Counselor or Registrar:
List all grades (K-12) for which you have been homeschooled:
College 1
Name of School:
Address:
City/State/Province/Zip:
Dates Attended: From:    To: 
College 2
Name of School:
Address:
City/State/Province/Zip:
Dates Attended: From:    To: 
College 3
Name of School:
Address:
City/State/Province/Zip:
Dates Attended: From:    To: 
Freshmen and transfer applicants must have official transcripts
from each school listed above sent to Central Christian College

* Year of Entry:

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

* Classification:

New Freshman 
Transfer Freshman 
Transfer Sophomore 
Transfer Junior
Transfer Senior 
Returning Alumnus

* Status:

Full Time 
Half Time (6 hours or more) 
Part Time (less than 6 hours) 
Part Time (high school student)

* Anticipated Vocation:


* Anticipated Degree and Major:


Undecided

Bachelor of Science in Business (4 years)

Accounting Major
Management Major
Small Business Management Major
Organizational Leadership Major

Bachelor of Science in Ministry (4 years)
Pastoral Ministry Major
General Ministry Major
Youth Ministry Major

Bachelor of Science (4 years)
Communication Major
Education Major
English Major
Exercise Science Major
Music Major
Natural Science Major
Psychology Major
Social Science Major
Sport Management Major
Liberal Studies Major (with two areas of concentration)

Associates (2 years)


If you chose the Bachelor of Science with the Liberal Studies Major, select your two areas of concentration:

Business (accounting, business, computer applications, management, small business)
Communications (communications, English, journalism, speech/theatre)
Humanities (art, theatre, literature, music)
Ministry (applied ministry, Biblical literature, children's ministry, contemporary worship, family/urban ministry, missions, practical ministry, youth ministry)
Science & Mathematics (health careers, aviation/science, biological sciences)
Social Sciences (criminal justice, family studies, history, history/political science, political science, psychology, psychology/sociology, sociology)
Sport Science & Health (exercise science, recreation, sport science & health, sports/coaching, sports management)
Hometown Newspaper
Name:
Address:
City/State/Zip:

I wish to participate in these activities at Central:

None
Choir/Chorus 
Band
Orchestra
Contemporary Christian Music
Drama 
Yearbook

* I wish to participate in this collegiate sport at Central as my primary sport:

None
Baseball (men) 
Basketball (men) 
Basketball (women) 
Cheerleading (men) 
Cheerleading (women)
Cross Country (men)
Cross Country (women)
Golf (men)
Golf (women)
Soccer (men) 
Soccer (women) 
Softball (women) 
Tennis (men)
Tennis (women)
Volleyball (women)

I wish to also participate in these collegiate sports at Central:

None
Baseball (men) 
Basketball (men) 
Basketball (women) 
Cheerleading (men) 
Cheerleading (women) 
Cross Country (men)
Cross Country (men)
Golf (men)
Golf (women)
Soccer (men) 
Soccer (women) 
Softball (women) 
Tennis (men)
Tennis (women)
Volleyball (women)

* How did you first learn of Central Christian College?

People I know who have attended or are currently attending Central:


* 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 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:
* City, ST/PR Zip:

* Name 2:

* Address:
* City, ST/PR Zip:

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:
Promo Code

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