Campus Visit Registration

Airfare Reimbursement Grant
Upon enrollment, Central will reimburse the cost  of your airline ticket you used for a campus visit with a grant worth up to $500.  Eligible recipients must fly from a location outside a 400-mile radius of McPherson, KS and submit a receipt to verify ticket purchase.

Name
First Name:
Middle Name:
Last Name:
Maiden Name:
Preferred Name:

Home Address
Number, Street:
City:
State:
Zip:
Telephone: e.g. (620)241-0723

Email Address:
 

About You

Year of H.S. Graduation:

I heard about Central Christian College from:
If you used an internet search engine to find CCC's website, which key words did you use in your search? 

Proposed Major(s):

Undecided

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) 
Cross Country (men) 
Cross Country (women) 
Baseball (men) 
Softball (women) 
Golf (men) 
Volleyball (women)
Tennis-(men)
Tennis-(women)

H.S. Cumulative GPA:

ACT/SAT Scores:

Church Denomination:

Notes - Any information you want us to know about you?


Names of students you know at CCC:

The Visit

Date & Time you will arrive at CCC:

Date & Time you will leave CCC:

Names of people coming with you:

Do you need directions to campus?
Yes No  If so, an admissions counselor will be in contact with you.

Your "Signature":
(type your name)

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