ONLINE APPLICATION FOR COLLEGE ADMISSION

A Division Of
Cincinnati Christian University Logo
 Cincinnati Bible College
Cincinnati Christian University
2700 Glenway Ave
Cincinnati, OH 45204
Phone:(513) 244-8141 Fax: (513) 244-8200
Application Procedures
New Freshmen: 
Your application will be processed upon submission, but cannot be finalized until Standardized Test Scores and high school transcripts are received.
All required fields will be represented with a red asterisk(*).
Personal Information
*First Name
*Middle Name
*Last Name     Suffix 
Preferred Name
*Birth Date (mm/dd/yyyy) / /
Prefix
*Gender Male    Female
Social Security Number (numbers only please)
Permanent Mailing Address:
*Address 1
Address 2
*City/Town
*State/Province
*Country
*Zip Code
*Primary Telephone Number
(area code + number)		  -   - 
Secondary Telephone Number
(area code + number)		  -   - 
E-Mail Address
Citizenship Information
Are you a U.S. citizen?    Yes   No
     
If NO, please select your country of citizenship
 
If NO, are you a permanent resident alien, refugee or political asylum?  Yes  No
If YES, list Permanent Resident Card Number  (AKA Green Card)
 
If NO to both entries above, please complete the following:    
Select type of U.S. Visa
Visa issue date  (mm/dd/yyyy)
Visa expire date  (mm/dd/yyyy)
 
Background Information
The following information is optional and is requested for statistical purposes only. This information will not be used in the admission process. This information is requested by government agencies to demonstrate compliance with the Civil Rights Act.
 
Your ethnic heritage
Religious affiliation
 
If other religious affiliation, please specify
Name of church you attend regularly:
   
Family / Guardian Information
FATHER:

Deceased? Yes No
Do you live with this person? Yes No
Prefix
First name
Middle name
Last Name Suffix 
Father's current mailing address:
Address 1
Address 2
City/Town
State/Province
Country
Zip Code
Home phone
(area code + number) 		 -   - 
Fathers's current employment:
Employer name
Work phone
(area code + number) 		 -   - 
MOTHER:

Deceased? Yes No
Do you live with this person? Yes No
Prefix
First name
Middle name
Last Name Suffix 
Mother's current mailing address:
Address 1
Address 2
City/Town
State/Province
Country
Zip Code
Home phone
(area code + number) 		 -   - 
Mother's current employment:
Employer name
Work phone
(area code + number) 		 -   - 
GUARDIAN:
(if applicable)

Deceased? Yes No
Do you live with this person? Yes No
Prefix
First name
Middle name
Last Name Suffix 
Guardian's current mailing address:
Address 1
Address 2
City/Town
State/Province
Country
Zip Code
Home phone
(area code + number) 		 -   - 
Guardian's current employment:
Employer name
Work phone
(area code + number) 		 -   - 
Family Members
List names and relationships of family members who have attended CCU
List names of younger brothers and sisters and anticipated years of high school graduation
Emergency Contact Information
Prefix
First name
Middle name
Last name      Suffix 
Relationship
Address 1
Address 2
City/Town
State/Province
Country
Zip Code
Primary Phone
(area code + number)		  -   - 
Secondary Phone
(area code + number)		  -   - 
Marital Information
Your marital status

SPOUSE:
(if applicable)

 
Prefix
First name
Middle name
Last Name Suffix 
Spous' current employment:
Employer name
Work phone
(area code + number) 		 -   - 
Entrance Information
*Entrance year and term
 
*Enrollment hours Full-time    Part-time 
 
*Intended major
Select intended major or minor below (after selecting degree):
 
Testing Information
Freshman applicants must have test results sent to the CCU Office of Admissions.
 
Please indicate the date taken (or dates if you took the test twice).
Test Description Taken Once? 1st
Mo/Yr		 Taken Twice? 2nd
Mo/Yr
American College Test (ACT) Yes  No   Yes  No  
Scholastic Aptitude Test (SAT) Yes  No   Yes  No  
Test of English as a Foreign Language (TOEFL) Yes  No   Yes  No  
 
Have you requested test scores be sent to CCU?    Yes    No
   
Enrollment History
 
List the high school from which you graduated or expect to graduate.
Name of High School City State Dates Attended Graduation Date
From:(Mo/Year) To:(Mo/Year) Month From:(Mo/Year)
     
 
For students who've taken the G.E.D. test
Name of Test Center City State Date Taken
Month Year
 
List all the colleges and universities that you've attended.
Name of college or university City, State Credits Dates Attended Degree Received
From:(Mo/Year) To:(Mo/Year)
   
   
   
   
   
   
   
   
   
Failure to list all the institutions previously attended may result in cancellation of admission and registration. It is your responsibility to have official transcripts of all previous work attempted sent to the CCU Admissions Office directly from each institution.
 
   
General Information
   
Have you ever been enrolled at CCU, CBC, or CALL before? Yes    No
If yes, when was the last year attended?
If yes, which School?
 
Have you ever applied to CCU before? Yes    No
If yes, what year did you apply?
 
Are you currently on academic or disciplinary probation at any institution?    Yes    No
 
Other name(s), such as a maiden name, your transcripts may be listed  
 
Are you a U.S. veteran? Yes    No
 
Are you receiving veteran's benefits? Yes    No
 
Are you a veteran's dependent? Yes    No
 
Are you the son/daughter of an alumnus of CCU? Yes    No
 
Are you the son/daughter of an employee of CCU? Yes    No
 
Are you currently in full-time employment with a sister Bible college or seminary? Yes    No
If yes, what institution?
Are you currently in full-time employment as a campus minister? Yes    No
If yes, what institution?
Co-Curricular Profile
Please list your extra-curricular activities
Activity Yrs. Honors, Achievements Highest Position Held