INTERNATIONAL STUDENT
APPLICATION

(Please Print)

Name ___________________________________, ________________________________
               (LAST/FAMILY NAME/SURNAME)                              (FIRST NAME/GIVEN NAME)

Other names(s) under which your records may be found _____________________________

Mailing Address _________________________________________
  _________________________________________
  _________________________________________
  _________________________________________
Telephone or FAX number (optional) ________________________________________
Birthday ______/______/______          Male ____ Female ____
                       Mon.      Day         Year
Marital Status - Single ____ Married ____ Divorced ____ - Number of Children ____
Name of Spouse, if married _________________________________________________
Place of Birth ____________________________ _______________________________
(City) (Country)
Country of Citizenship ________________________ Nationality ____________________
Native Language ____________________________
Other languages you are proficient in (spoken and written) _________________________
________________________________________________________________________
Name of Parent or Guardian _________________________________________________
Permanent Home Address _________________________________________
  _________________________________________
  _________________________________________
  _________________________________________
High School Attended _______________________________________ Year of Graduation _______
Date TOEFL taken ____/____/____ TOEFL Score __________

Do you currently hold an F or J visa? ___ Yes ___ No
If No, type of visa currently held ______________________________________
If yes, visa number_________________________________________________
Educational institution issuing visa______________________________________

Post-secondary schools/Universties attended:
__________________________________________________________ Dates _______________
__________________________________________________________ Dates _______________
__________________________________________________________ Dates _______________
Religious Affiliation ________________________________________________________________

PROGRAM OF STUDY
Manhattan Christian College only offers undergraduate programs of study (Associates and Bachelors degree programs). You must select your intended field of study from the following offered at Manhattan Christian College.

[ ] Bible/Cross-Cultural Ministry [ ] Bible/Educational Ministry
(not a certified teaching program)
[ ] Bible/Family Ministry [ ] Bible/Pastoral Ministry
     [ ] Church Ministry Emphasis [ ] Bible/Youth Ministry
     [ ] Pre-Counseling Emphasis [ ] Bible/Worship Ministry
     [ ] Pre-Social Work Emphasis  

ESSAY
Write (do not type) a brief essay stating: 1) your reason(s) for desiring to attend Manhattan Christian College, 2) your vocational aim, and 3) your relationship with Jesus Christ. Attach this essay to your application.


I understand that Manhattan Christian College does not accept students who use tobacco, alcohol, or drugs. Any prospective student who uses these items in any form need not apply for admission, unless he/she is willing to comply with this policy. I also certify that the information provided is complete and accurate.

_________________________________________ _______________________
Signature Date

MCC does not discriminate on the basis of race, color, national or ethnic origin, gender, or personal handicap in its policies and programs of admission, scholarships, instruction, athletics and other college administered activities.

Revised & Approved - 4/27/2006

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