MIAMI CHRISTIAN UNIVERSITY APPLICATION FOR ADMISSION TO APPLICANT: Please complete ALL items of this application by printing or typing, and forward to the Admissions Department of MIAMI CHRISTIAN UNIVERSITY. If an item is no applicable, enter NA. If any space is insufficient use additional pages. NAME _____________________________________________________ DATE _____________________________________________________ PRESENT ADDRESS___________________________________________ __________________________________________________________ PHONE ____________________________________________________ PERMANENT ADDRESS _______________________________________ ___________________________________________________________ PERSONAL AND BIOGRAPHICAL INFORMATION Birthdate_____________ Age ______ Birthplace __________________ Sex__ Citizenship___________ Weight_____ Height____ SS#__________________________ Single____ Engaged____ Married____ Separated____ Divorced____ If engaged, explain plans for future and fiance(e)'s present and/or future relationship to MIAMI CHRISTIAN UNIVERSITY. If married, explain status of family while you are in school. If separated or divorced, give details. __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ Name of spouse_______________ Date of marriage__________________ Name, age, sex of children______________________________________ _______________________________________________________________ Name/Address of Parents (if unmarried) ________________________ _______________________________________________________________ Name/Address/Telephone of an emergency contact _________________ ________________________________________________________________ If under 25 and single, are your parents serving as full time ministers and missionaries? Minister?_____ Missionary?_____ Name of church/organization______________________________________________ Name/address of your church ___________________________________ __________________________________________________________ Your Pastor's Name/Address ____________________________________ __________________________________________________________ Do you feel a call or burden for a specific line of Christian service?_____ Explain ____________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ What are your vocational plans upon completion of your training and education? __________________________________________________________ __________________________________________________________ When were you converted?________________ When did you receive the Baptism in the Holy Spirit?___________________ GENERAL INFORMATION Type of Christian work in which you have been most active: __________________________________________________________ High school/college extracurricular activities ______________ __________________________________________________________ Hobbies, Interests ___________________________________________ Musical Interests ____________________________________________ Are you a minister?_____ Ordained_____ Licensed_____ Other_____ Credentialed by _____________________________________________ Have you ever been expelled by any school?_____ If yes, explain: _____________________________________________________________ _____________________________________________________________ EDUCATIONAL INFORMATION LIST ALL SENIOR HIGH SCHOOLS AND HIGHER INSTITUTIONS ATTENDED Name of School - Address - Years Attended - Graduation date __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ If you do not have a high school diploma, do you have a high school equivalency diploma (GED)?_____ Issued by ____________________________________________________________ HEALTH: Good____ Average____ Poor____ Do you have a physical disability or activity limitation? Yes____ No____ If yes, please explain: __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ Are you under a doctor's care?_____ If yes, please explain: __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ EMPLOYMENT INFORMATION Present employer/address ________________________________ __________________________________________________________ (street city state zip) Type of work _______________________________________________ How long? __________________________________________________ Past employment (Last 5 years) Name of Employer/City / Type of Work / Duration __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ MILITARY SERVICE INFORMATION Active?_____ Veteran?_____ Branch of Service_____________________ Dates of Service_________________ Highest Rank__________________ Type of Discharge________________ If other than honorable, explain: __________________________________________________________ __________________________________________________________ PERSONAL STATEMENT State here the reason you desire to attend the Miami Christian University and what you want to be accomplished by this training and education __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ REFERENCES: List the name, complete address, and telephone number of three (3) persons (not relatives), including your Pastor, who have known you for at least one year. Each of these should be asked to complete a reference letter and return it directly to the Registrar's Office, Miami Christian University, 9775 S.W. 87 Ave., Miami, FL 33176. Pastor____________________________________________________ Address__________________________________________________ Phone____________________________________________________ Name____________________________________________________ Address__________________________________________________ Phone____________________________________________________ Name____________________________________________________ Address__________________________________________________ Phone____________________________________________________ FINANCIAL RESPONSIBILITY FINANCIAL ARRANGEMENTS: There will be a registration fee of $50.00 payable online at the time of Application. The course fee of $90.00 per credit hour will be due and payable online upon enrollment in each class. SPACE FOR FUTHER COMMENTS __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ IF ACCEPTED, I AGREE TO ABIDE BY THE RULES AND REGULATIONS OF MIAMI CHRISTIAN UNIVERSITY __________________________ ___________________________ Date of application Signature of Applicant NOTE: APPLICATIONS WILL BE PROCESSED BY THE REGISTRAR, BUT FINAL APPROVAL WILL BE CONTINGENT UPON RECEIPT OF REFERENCES. TRANSCRIPT INFORMATION WILL BE REQUESTED WHEN TRANSFERRING TO MCU FROM ANOTHER INSTITUTION. High School Transcripts or Proof of G.E.D. will be required BEFORE student file is complete. (Contact the Registrar's Office if you are interested in completing your high school education via the Internet.)