Application for Admission
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1 Application for Admission 400 E. GREGORY STREET MT. PROSPECT, ILLINOIS PHONE: FAX:
2 APPLICATION PROCESS Christian Life College welcomes applications from persons seeking a Christian education in a Spirit-filled, strong academic environment. CLC graduates are found in a variety of active ministries. Students come to CLC not only for an education, but also for ministry preparation. APPLICATION PROCESS To apply for admission to Christian Life College, each applicant must submit to the Admissions Office the following items: 1. Applicantion for Admission 2. Transcripts of all high school and/or college credits or GED scores. Applicants who have been home schooled must submit a document from a recognized educational agency. 3. Recommended A.C.T. or S.A.T. scores - Scores may be used for counseling, guidance and placement in specific courses. 4. Pastoral Reference Form - This must be completed by one of the pastors in the local church who has known the applicant at least six months and is not a relative. 5. Two (2) personal references from individuals not related to the applicant. 6. A written testimony including reasons why the applicant would like to attend Christian Life College. 7. Personal photograph (optional). 8. $40 (U.S. Citizens) non-refundable/application fee. Credentials and all materials submitted to the college become the property of Christian Life College and will not be returned to the applicant. Application Deadline: U.S. Citizens: Open Admission until Semester begins International Students: July 1 for Fall Semester only $250 Housing Deposit Deadline (all students): Fall Semester: July 1 Spring Semester: December 1 INTERNATIONAL STUDENTS Christian Life College has been approved by the Department of Justice, Immigration and Naturalization Service for the educating of international students. International students are invited to apply for admission to the college by following these procedures: 1. Consult the nearest American consulate regarding study in the United States. 2. Submit a complete application for admission - along with a non-refundable $250 application fee. 3. Complete and submite the INS I-134 Form (Affidavit of Support) or a letter of guarantee from a person or agency for financial support. 4. All education transcripts must be in English or payment for translation and evaluation made. 5. Proficiency in written and spoken English is REQUIRED (TOEFL Scores). 6. Prospective students should send all application materials before July Letter of Acceptance and I-20 issued to applicant. 8. An international student who holds an F-1 Student Visa is required to carry a full course of study (12 credit hours). APPLICATION & HOUSING DEADLINES Early application to CLC is always advisable. If you are a high school student, you may submit your application at the end of your junior year. International applications should plan to commence studies in the fall semester only.
3 Application For Admission Please complete all items of this application by printing or typing, together with a $40 (U.S. only) Application Fee, and forward to: ADMISSIONS OFFICE 400 E. GREGORY STREET MT. PROSPECT, IL PHONE: FAX: Enclose a recent photo of yourself here (optional) PERSONAL/FAMILY INFORMATION 1. Last Name: First Name: Middle Inital: Maiden Name: 2. Permanent Address: City: State: Zip Code: Country: 3. Phone: ( ) Address: 5. Social Security #: Date of Birth: / / 7. Place of Birth: 8. Gender: M or F 9. Racial/Ethnic Group: Black/Non-Hispanic American Indian/Alaskan Native Asian/Pacific Islander (Check One) Hispanic Caucasian Other: 10. Are you a U.S. Citizen? Yes or No If No, Country of Citizenship: Permanent Resident #: F-1 Student Visa #: Other U.S. Immigration Status: Do you consider English as your native tongue? Yes or No 11. Marital Status: Single Married Separated Widowed Divorced Engaged (Circle One) Spouse name: Children(s) Name(s) and Ages: 12. Parent/Guardian: Phone: ( ) - Address: City: State: Zip Code: MEDICAL INFORMATION 1. Do you have an physical limitations? Yes or No If yes, please describe: 2. Have you had or are you now receiving counseling? Yes or No If yes, please explain: CHRISTIAN EXPERIENCE 1. Have you made a commitment ot Jesus Christ as your Lord and Savior? Yes or No If so, when? 2. What is your practice regarding personal Bible study and prayer? 3. What call of God, if any, do you sense at this time, and/or what is your purpose for enrolling at Christian Life College? CHURCH AFFILIATION 1. Home Church: Pastor: Address: Phone: ( ) - 2. How long have you regularly attended?
4 EDUCATION INFORMATION or S.A.T.. or S.A.T... Y. Y ENROLLMENT INFORMATION FINANCIAL INFORMATION 1. How will you finance your education? 2. What is your current estimated indebtedness? 3. How do you plan to pay for this indebtedness? How do you plan to pay for this indebtedness? 4. Do you have any dependents? Yes No If Yes, what is your relationship to them? How do you plan to pay for this indebtedness? 5. All International Students must obtain an INS I-134 Form (Affidavit of Support) or letter of guarantee from a person or financial agency for financial support. STATEMENT OF AGREEMENT I affirm by my signature that I will respect the Statement of Faith of Christian Life College and will conduct myself in a Christian manner while enrolled at this college. I affirm by my signature that I will respect the Statement of Faith of Christian Life College and will conduct myself in a Christian manner while enrolled at this college.
5
6 Do you feel the applicant is mature enough to handle the challenges of college life? Relationship:
7 Do you feel the applicant is mature enough to handle the challenges of college life? Relationship:
8 FRESHMAN & TRANSFER STUDENTS: Application for Admission Transcript(s) from High School and/or College(s) attended A.C.T. or S.A.T. Test Score Recent Photo (optional) Personal Testimony Pastoral Recommendation Two (2) Personal Recommendation $40 Application Fee KEEP THIS PAGE FOR YOUR REFERENCE APPLICATION PROCESS CHECK LIST INTERNATIONAL STUDENTS: Application for Admission Transcript(s) from High School and/or College(s) attended Recent Photo (optional) Personal Testimony Pastoral Recommendation Two (2) Personal Recommendation $250 Application Fee Completed I-134 Form or a letter of guarantee for financial support TOEFL Score Secure U.S. Visa Questions???? Call our Admissions Office at Send your application and accompanying information to: Christian Life College Admissions Office 400 E. Gregory St. Mt. Prospect, IL 60056
9 400 E. GREGORY STREET MT. PROSPECT, ILLINOIS PHONE: FAX:
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