Strong in the Scriptures

Application for Admission to FCC

Please fill out this application in its entirety.
You will have the option of paying the application fee online via credit card / PayPal , or printing the application and mailing a check.

Enrollment Information:

Desired Program: Traditional Day Program      Alternative Degree Completion Program

Desired Enrollment Status:
For a description of these categories, please see the Student Classifications Matrix in the FCC Academic Catalog.

Degree Seeking Student     Non-degree Seeking Student      Audit Student
Dual Enrollment      Early Enrollment 

If accepted I plan to enroll:
Traditional Program:
Working adult education program (LEAD): month/year

Student Status: First Time Student      Transfer Student      Re-admission

Desired Residence: Campus Apartment (Please see Application Checklist for more info)       Off Campus

Personal Information

Full Name:
Preferred Name:
Social Security #:
Birthdate: year     Age:
Other name(s) under which your transcript could be found:
 
Gender:
Mailing address for admissions correspondence:
Street or box Number:
City:      State:       Zip:
Email:
Home Phone:
Work Phone:
Mobile Phone:

Country of Citizenship (Please Check One)

U.S. Citizen

Marital Status

Single       Engaged       Married       Divorced       Widowed

List Your Dependants:
(list full names, ages, and relationship to you)

Church Background

Are you a Christian? Yes      No    If Yes, how long?
How often do you attend church? Weekly or more
Two to three times a month
Less than two to three times a month
Name of church currently attending:
 
How long have you attended this congregation?
 
Address of current church
Minister(s):
Have you been baptized into Jesus Christ through water immersion?
  Yes       No

Character Background

If your answer to either of the following questions is yes, please submit a full statement (50 - 75 words) in the area below the question. This statement is to explain your involvement in these activities and how you believe these choices have impacted your Christian walk. In addition you may be required to furnish all official documentation explaining the final disposition of the proceedings.

Have you ever been charged with or subject to disciplinary action for scholastic misconduct or any other type of misconduct at any educational institution?
Yes       No

Have you ever been charged with a violation of the law which resulted in, or, if still pending, could result in, probation, community service, a jail sentence, or the revocation or suspension of your driver's license (including traffic violations which resulted in a fine of $200.00 or more)? If your records have been expunged pursuant to applicable law, you are not required to answer yes to this question.
Yes       No

Please carefully review FCC's Lifestyle Standards (beginning on page 24) as stated in the Student Life Handbook

Do you agree to abide by the FCC Lifestyle Standards as stated in the Student Life Handbook while you are a student at Florida Christian College ?
Yes       No

If your answer to the following question is no, please submit a full statement (50 - 75 words) in the area below the question. This statement is to explain your involvement in these activities and how you believe these choices have impacted your Christian walk.

Have the lifestyle choices that you have made in the past 12 months been consistent with FCC Lifestyle Standards as stated in the Student Life Handbook?
Yes       No

Educational Information:


High School you now attend (or from which you graduated)

High School Name:
Address:
Date of entry:
Date of graduation:
Is your school



List all other secondary schools you have attended beginning with ninth grade.
(include name of school, city, state, zip, and dates attended)

GED/High School Equivalency:
(include name of institution, city, state, zip, and date completed)

College Information:
List all colleges/universities at which you have taken courses. Please have an official transcript sent from each institution as soon as possible.
(include name of college/university, city, state, zip, dates attended, and degree earned)

Military Information:

Have you ever served in the Military? Yes       No

Test Information:

Official test results must be mailed to Florida Christian College by the testing agency unless they accompany an official high school transcript.

ACT Date taken/to be taken:
English Score:
Math Score:
Reading Score:
Science Score:
Composite Score:
   
SAT Date taken/to be taken:
Verbal Score:
Math Score:

Test of English as a second language (TOFEL or other exam) (International Students only)

Test:
Test Date taken/to be taken:
Score:

Miscellaneous Information

How did you hear about FCC?
(Check all that apply)

Minister      Youth Minister      FCC Alumnus      FCC web site
Phone Book      Friend       Parent      Billboard      Radio     New Life/CIY Team    

College Guide which one?
College Event which one?
Other, please describe

Required Authorization

My name typed into the field below indicates that all the information in my application is complete, factually correct, and truthfully presented. Furthermore, I certify that I know the moral and educational standards of Florida Christian College and I pledge to abide by the college standards and policies.

I understand that this application does not guarantee acceptance.

date 7/27/2008 3:45:53 AM