Admission 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:
* Telephone: e.g. (620)241-0723
Cell Phone:
 e.g. (620)241-0723

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:



* Social Security #:

* Date of Birth:

* I am eligible for Veteran's Administration Benefits:
Yes No

* Gender:
MaleFemale

* Marital Status:
SingleMarriedDivorcedWidowed 
Spouse's Name if Married: 

* Country of Citizenship:
United States 
Canada 
Other: 
Eligible noncitizen 
Alien Registration Number: 
Ethnic Origin: (optional) Nonresident Alien
Race and Ethnicity Unknown
Hispanics of any race
For non-Hispanics only:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Two or more races
*Country of Birth: United States
Other:
Primary language spoken at home:
in high school:
 EnglishSpanishOther
EnglishSpanishOther
*Have you ever been convicted of a felony?:
 YesNo

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:
* Phone: e.g.(620)241-0723
Occupation:
* Attended Central: YesNo

Mother
Title: Ms. Mrs. Dr. Rev. 
Other: 
* Name:
* Address:
* City:
* State/Province:
* Zip:
* Phone: e.g.(620)241-0723
Occupation:
* Attended Central: YesNo
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, biolocial sciences)
Social Sciences (criminal justice, family studies, history, history/political science, political science, psychology, psycology/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 (women) 
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:

(After Submitting your Application, you may press the Back button to return to this page.)


Having problems submitting your Application? Please let us know!

* Your name:


* Please describe the error(s) you are getting:

* How can we contact you?





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.