Student Admissions Application

Admissions

Personal Information

First and Last Name

Phone

Address

Dat of Birth

Place of Birth

Sex:

Nationality

Foreign Student
Yes No

Country of Citizenship

Type of Visa

Passport #

Employer

Occupation

Employers Address

Employer Telephone Number

Marital Status

Spouse Name

Spouse Occupation

How Many Children Do You Have?

Children Ages

How Many Live at Home?

Are Your Parents Born Again Christians
Yes No

Educational Information

Are You Currently Enrolled in High School
Yes No

Are You a High School Graduate
Yes No

If Not a High School Graduate What Is the Highest Grade Attended