MCC Admissions - Application

APPLICATION FOR ADMISSION
Please fill out this form completely. All items marked with an (*) are required.
This application is for US citizens only, International Students complete application here.

*The campus/program that I am applying for (please choose one) is:
Traditional, on-campus LEAD, Adult Degree-completion Distance (online)

*When do you expect to enroll at MCC? Year:

*I will be a: Degree-seeking (Full-time or Part-time), Non-degree (part-time), or
Returning student

*Intended Degree: Minor:

Personal Information

*Last 4 digits of your Social Security Number (for identity verification): (numbers only)

*First Name: *Ml: *Last Name:
(please enter names exactly as they appear on official documents)

Preferred Name (if different from first name):

*Birth date: (mm/dd/yyyy) Gender: M F

*Permanent Home Address:

*City: *State: *Zip:

*Home Phone: (123-456-7890) Cell Phone:

*Email Address: IM Address:

Emergency Contact Name:

Emergency Contact Phone:

Marital Status: Military Status: Work Phone:

Transcript Information
(all students must submit transcripts from ALL colleges and post-secondary institutions attended)

Institution 1 Name:

Address: City: State: Zip:

Dates attended: Hours Completed:

Institution 2 Name:

Address: City: State: Zip:

Dates attended: Hours Completed:

Institution 3 Name:

Address: City: State: Zip:

Dates attended: Hours Completed:

Please list any additional Institutions you have attended:

*Have you been dismissed from any school or college, or placed on probation?
Yes No If yes, please explain in the text box below:

*Have you ever been denied admission to any college or university? Yes No
If yes, please explain in the text box below:

*Have you ever been convicted of a felony? Yes No
If yes, please explain in the text box below:

ACTIVITES (List any church, school, or extracurricular activities you have participated in):

PERSONAL REFERENCES
(Please send in two reference forms from a minister, teacher, counselor, friend, or employer)

*Reference 1 Name: *Phone: (123-456-7890)

*Address: *City: *State: *Zip:

*Reference 2 Name: *Phone: (123-456-7890)

*Address: *City: *State: *Zip:

ESSAYS

*Write a brief statement of why you are applying to Manhattan Christian College.

*Briefly describe your Christian faith and personal relationship with Jesus Christ.

*What does it mean to you to be a Christian leader?

CHURCH INFORMATION

*Name of the church you are currently attending:

*Address: *City: *State: *Zip:

*Minister's Name:

*How long have you attended this church?

*When did you become a Christian (year or age)?

GUARDIAN AND HIGH SCHOOL INFORMATION

Parent/Guardian's Name: Phone: (123-456-7890)

Address: City: State: Zip:

I currently live with: If Other, specify:

*HIGH SCHOOL currently attending or graduated from:

*High School City: *St: *Date of HS Graduation: (mm/yyyy)

Entrance Testing: ACT taken on: (mm/yyyy) SAT taken on (mm/yyyy)
(ACT or SAT scores are required of all high school students prior to full admission)

SIGNATURE and SUBMISSION

By typing my legal name below I certify that the above information is
complete and accurate and carries the weight of my official signature.
I understand that inaccurate or omitted information may later be grounds
for dismissal from Manhattan Christian College.
*Signature:

Upon submission of this form you will be redirected to a secure site to
make payment for the $25.00, non-refundable application processing fee. (Returning Students do not repay the application fee.) Your application will not be processed until all reference forms,
transcripts, and payment are received by the Admissions Office.