Online application

International Students

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

Please mail $25.00 Application Fee (non-refundable U.S. Funds)
(Applications will not be considered 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:
Address Line 3:
(if necessary)
Telephone: 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 Line 1:
Address Line 2:
Address Line 3:
(if necessary)
Telephone: e.g. (620)241-0723
At Current Address until:

*E-mail Address:

Social Security #:

Date of Birth:

Gender:
Male Female

Marital Status: (optional)
Single Married Divorced Widowed 
Spouse's Name if Married: 
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:
 
Country of Citizenship:

Religious Affiliation
Church Name:
Denomination:
Address Line 1:
Address Line 2:
Address Line 3:
(if necessary)

High School/Church Activities/Honors:

Family Information

Father
Title: Mr.  Dr.  Rev. 
Other: 
Name:
Address Line 1:
(if different from yours)
Address Line 2:
Address Line 3:
(if necessary)
Phone: e.g.(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:
Address Line 3:
(if necessary)
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 Line 1:
Address Line 2:
Address Line 3:
(if necessary)
I did 
I will 		 graduate on (date): 
College 1
Name of School:
Address Line 1:
Address Line 2:
Address Line 3:
(if necessary)
Dates Attended: From:    To: 
College 2
Name of School:
Address Line 1:
Address Line 2:
Address Line 3:
(if necessary)
Dates Attended: From:    To: 
College 3
Name of School:
Address Line 1:
Address Line 2:
Address Line 3:
(if necessary)
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)

Proposed Major:

Undecided

Anticipated Vocation:

Degree Sought:
Bachelor of Science/Liberal Studies (4 years)
Bachelor of Science in Ministry (4 years) 
Bachelor of Science in Business (4 years)
Associate in Arts (2 years) (liberal arts transfer) 
Associate in General Studies (2 years) 
Hometown Newspaper
Name:
Address:
City/State/Zip:

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 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:
Address Line 3:
(if necessary)

Name 2:
Address Line 1:
Address Line 2:
Address Line 3:
(if necessary)

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 $25.00 fee for processing application to:


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

CALL TOLL FREE 1-800-835-0078


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.