Florida Christian College - LEAD Application

Save my progress and resume later | resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

ENROLLMENT INFORMATION:

Desired Program: * Please select the program you intend to enroll in.

Desired Enrollment Status: * Please select your desired enrollment status.

If accepted, I plan to enroll: * Select the date you plan to begin.

Student Status: * Select the appropriate student status.

Last date of attendance:

Reason for leaving Florida Christian College:

PERSONAL INFORMATION:

Full Name: * Please enter your first, middle, and last name.

Preferred Name: Please enter any name you prefer to go by.

Social Security Number: * Please do not include symbols (-,.,',i). For international students enter NA here.

Date of Birth: * Please enter your date of birth in the following format MM/DD/YYYY. ex 02/10/1988.

Age: *

Other name(s) under which your transcript could be found: If there is any other name your transcript could be listed under please enter it here. If not please leave blank.

Gender: *

Mailing Address for Admissions Correspondence:

Are you and international student? * YesNo

Street Address *

Address continued

City *

State *

Zip *

Country (International Applicants) * If you are a US citizen just accept the default.

Phone Number: * Please do not include symbols (-,.,',i).

Email Address: *

Personal Information Continued

Country Of Citizenship (Please Check One) * Please select your citizenship status.

Country *

If already in the US, do you currently hold a visa? * YesNo

Visa expires on: Please enter the date in this format 10/10/2009.

Marital Status *

If you are relocating will your spouse be moving with you? YesNo

Full Name of Spouse:

Age of Spouse:

Wedding Date: Please enter the date in this format 10/10/2009.

Student Status of Spouse: Please select the appropriate student status for your spouce.

Do you have any dependents? * YesNo A child, spouse, parent, or certain other relative to whom you contribute all or a major amount of necessary financial support.

Enter the Full Name, Age, and Relationship Of your Dependents: * Please enter the name, age, and relationship to you of your dependent(IE: son, daughter, step son, etc.

Character Background

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

If you answered �Yes�, please explain why in 50 - 75 words. 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 court documentation explaining the final disposition of the proceedings. *

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. * YesNo

FCC�s �Lifestyle Standards�

Please carefully review FCC’s “Lifestyle Standards” 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? * YesNo

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? * YesNo

If you answered �No� to the above question, please explain why in 50 - 75 words. This statement is to explain your involvement in these activities and how you believe these choices have impacted your Christian walk *

Church Background

Are you a Christian? * YesNo

How long have you been a Christian? *

How often do you attend church? *

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 in water immersion? YesNo

EDUCATIONAL INFORMATION:

Have you received the following: High School Diploma
GED
Other High School Equivalency

Address of your High School

Street Address

City

State

Zip

Date of entry:

Date of graduation:

If you received a GED/High School Equivalency please list the institution name, address, and the date you completed.

Please list extra curricular activities you participated in while in high school or a high school equivalent. Also list the number of years you participated and any awards you earned.

Do you wish to participate in these extra curricular activities if they are offered at FCC? YesNoN/A

Was your school: PublicPrivateParochialHome Schooled

Was your secondary education completed in a home school that state law treats as a home or private school? YesNo

Did your state issue you a secondary school completion credential? YesNo

List the name, address,and dates attended of all other secondary schools you have attended beginning with ninth grade:

How Many Colleges or Universities have you attended? 0
1
2
3
4

List the name and address of the 1st College or University you have attended. Please have an official transcript sent from this institution as soon as possible.:

Please list the degree you earned or the number of college credits you earned in the 1st college or university you attended.

List the name and address of the 2nd College or University you have attended. Please have an official transcript sent from this institution as soon as possible:

Please list the degree you earned or the number of college credits you earned in the 2nd college or university you attended.

List the name and address of the 3rd College or University you have attended. Please have an official transcript sent from this institution as soon as possible:

Please list the degree you earned or the number of college credits you earned in the 3rd college or university you attended.

List the name and address of the 4th College or University you have attended. Please have an official transcript sent from this institution as soon as possible:

Please list the degree you earned or the number of college credits you earned in the 4th college or university you attended.

Please list extra curricular activities you participated in while in college/university. Also list the number of years you participated and any awards you earned.

Do you wish to participate in these extra curricular activities if they are offered at FCC? YesNoN/A

If you are an international student have you taken a test of English as a second language (TOFEL or other exam) You must have a score of 500 written, 173 computer, or 61 internet. (International Students only) YesNoN/A

Military Information

Have you ever served in the Military? YesNo

Branch :

Dates of service:

Please obtain a DD214 form or the equivalent and forward it to Florida Christian College. No answer required here. Please forward the proper military form to Florida Christian College.

If you have served in the military and would like to know about what VA financial aid you might qualify for, feel free to contact our financial aid department at financialaid@fcc.edu, 1-888-Go-To-FCC, 407-569-1365.

Test Information

You must take either the ACT or SAT. Which have you taken or do you plan to take? ACTSATBoth You are only required to take one of the tests but if you have taken both you can select both and enter scores for both tests if you choose.

Date taken/to be taken:

ACT English Score:

ACT Math Score:

ACT Reading Score:

ACT Science Score:

ACT Composite Score:

SAT Verbal Score:

SAT Math Score:

Test:

Date taken/to be taken:

Score:

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

MISCELLANEOUS INFORMATION:

How did you hear about FCC? (Check all that apply) BillboardCollege Event College Guide Community EventFCC AlumnusFCC Web SiteFriendMinisterMagazineNewspaperNew Life/CIY TeamParentPhone BookRadio Youth MinisterOther

Which College Event?

Which College Guide?

Which Radio Station?

Please Describe "Other":

REQUIRED SIGNATURE:

My typed signature below indicates that all of 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.

Applicant�s signature: *

Date: * Please enter the date in this format: 10/10/2009

Which College Event?

Captcha

Please enter the characters you see in this picture:

Characters

This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen.
Can't see the image? Click here for an audible version in English.

Save my progress and resume later | resume a previously saved form