International Online Application

Mailing Information

Please fill out your basic mailing information below. We require a valid international mailing address and current contact information.

*First Name:

Middle Name:

*Last Name:

Maiden Name:

*Nickname or Preferred Name:

*Home Street Address (& Apt. # if Applicable):

*City:

State or Province (if applicable):

Postal Code (if applicable):

*Country:

Additional Contact Information

A telephone contact number and email address is required, but if you have other preferences for communication, please detail them below.

*Home Telephone (e.g. ###-###-####):

Alternative Telephone (e.g. ###-###-####):

*E-Mail Address:

Current Residence & Contact Information

Please enter your current residence. If your current residence is the same as your address above, you may leave this blank.

Street Address (& Apt. # if Applicable):

City:

State or Province:

Postal Code:

Current Telephone (if different from above):

You will be at this address until:

Personal Information

Please include the information below in order for us to correctly process your application.

Date of Birth:

Social Security # (if applicable):

Spouse's Name if Married:

Religious Affiliation & Information

This information will help us to better understand you and assist all of our students in acclimating to campus life at Central Christian College of Kansas.

Church Name:

Denomination:

Street Address:

City:

State or Province:

Postal Code:

Country:

Family Information

Please enter your immediate family and any others you wish for emergency and notification contacts.

Father

Name:

Address:

City:

State or Province:

Postal Code:

Country

Contact Telephone Number:

Occupation:

My father attended Central Christian College of Kansas

Mother

Name:

Address:

City:

State or Province:

Postal Code:

Country:

Contact Telephone Number:

Occupation:

My mother attended Central Christian College of Kansas.

Maiden Name:

Siblings

Name, Year of H.S. Graduation, Date of Birth:

Admissions Information

This section includes information specific to the admissions process at Central Christian College of Kansas. When detailing your higher education history, please list colleges you attended most recently, first. To receive credit hours for classes taken outside of Central Christian College of Kansas, applicants must have official transcripts from each college sent to Central Christian College of Kansas before credits may be awarded.

High School Information

Name of School:

Address:

City, State or Provice, & Postal Code & Country:

High School Telephone Number:

Guidance Counselor or Registrar:

All grades (K-12) during which you were homeschooled:

Higher Education History

Enrollment Information

Activities & Achievements

High School Activities:

Church Activities:

Honors & Achievements:

Vocation & Degree / Major

Please input your proposted major and degree information below. If you are unsure at this time, please select "I am Undecided" below.

Proposed Major:

I am Undecided:

Liberal Studies Major

If you selected the "Liberal Studies Major" above, you must select two areas of concentration in the checkbox list below. Otherwise, skip this section.

Activities & Sports

In the sections below, please select what activities and/or sports you may wish to participate in at Central Christian College of Kansas. As the sports offered are made available based on the demand, each sport is labeled with a "M", "N", or both. This identifies the (M)en's and (W)omen's teams currently available. If you have questions about a sport not listed below, please fill in the "Other Sport Not Listed" field with the sport you are interested in to speak with someone about what CCC can do for you.

Available Sports

Personal References

Please list the names and full addresses or email addresses (for those references outside of the U.S.) of two (2) non-related adults to whom we may send our Personal Reference Form. Some examples may be a high-school counselor or teacher, a pastor, youth minister, or previous employer.

Name 1:

Address:

City, ST/PR Zip:

Name 2:

Address:

City, ST/PR Zip:

How did you first learn about CCC?

People I know who have attended/are attending CCC:

Why Central Christian College of Kansas?

We realize we didn't warn you there would be essay questions, but not to worry, there's no prep necessary and this isn't a test. A profession of Christian faith is not required for admission to Central Christian College of Kansas. The college does seek to serve students who desire or appreciate our distinctively Christian educational environment, but if you really want to be here, we want you to be here, too.

What meaning does the Christian faith have for you?

Why do you feel Central would be a good fit for you?

*Certification & Signature

By signing below, you state the following:
"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 (please type your full name):

Date:

Application Fee

A $35.00USD application fee is required for applicant processing. Please send application fee to:
Office of Admissions
Central Christian College of Kansas
P.O. Box 1403
McPherson, KS 67460

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 of Kansas 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 of Kansas Course Catalog. Any persons having inquiries concerning this may contact: Dean of Student Services at Central Christian College of Kansas, (620) 241-0723.