Submit Application – Clarity Christian College

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Emergency Contact

Name *

First

Last

Relationship to applicant

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Nation of Citizenship *

Applicatants are requested to provide the following information voluntarily. This information will not be utilized in a discriminatory manner.

Race / Origin

Native Language

Religion

Gender

Are you a veteran of the U.S. Military? *

This application is for enrollment as: *

Freshman (First time in College)
Undergraduate Transfer
2nd Bachelor's Degree
Former Student Returning (FSR)

What is your planned major? *

Which campus do you seek admission? *

If your records have been expunged pursuant to applicable law, you are not required to answer yes to the following questions. If you are unsure whether to answer yes, we strongly suggest that you answer yes and fully disclose all incidents to avoid any risk of disciplinary action or revocation of your offer of admission.

Are you currently or have you ever been charged with or subject to disciplinary action for scholastic or any other type of misconduct at any educational institution? *

Yes
No

If yes, please explain

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 or more?) *

Yes
No

If yes, please explain

High School Information

High School Name *

Expected Graduation Date *

High School Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

High School Phone

Please provide the names of people in your immediate family who have attended Clarity Christian College or Florida Bible College.

Name

First

Last

Relationship

Name

First

Last

Relationship

Extracurricular, Personal and Volunteer Activities

Extracurricular Activities

List your organizations, position, description of the activity, and hours per week of involvement.

Talents and Awards

List each, a description, the level, and number of years of involvement.

Community Service Work

List the type of work, your role, and hours per week of involvement.

Employment

List the job, your title, description, hours per week, and dates of employment.

Attach an additional Word, PDF or text document if necessary

Click or drag a file to this area to upload.

Parent Information

The information requested below is optional, but it may assist in the review of your admission. You are strongly encouraged to complete this section.

Father or Legal Guardian Occupation

Father or Legal Guardian Education

Mother or Legal Guardian Occupation

Mother or Legal Guardian Education

Please indicate your family’s gross income for the most recent tax year. Include both taxed and untaxed income.

Do you have family obligations that keep you from participating in extracurricular activities? *

No
Yes, I have to work to supplement family income
Yes, I provide primary care for family member(s)
Other

If yes or other, please describe

Agreement

I understand that this application is for admission only for the term indicated. I agree that I am bound by the University’s regulations concerning application deadlines and admission requirements. I agree to the release of any transcripts and test scores to this institution, including any SAT, Achievement Test, and ACT score reports. I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of admission and invalidation of credit or degrees earned. If admitted, I agree to abide by the policies of the Board of Regents and the rules and regulations of the University. Should any information change prior to my entry into the University, I will notify the Office of Admissions. I understand that the application fee I submit with this application is a non-refundable fee.

Do you understand and agree to the terms listed above? *

Yes, I understand and agree to the terms listed above.

Application Fee *

Price: $35.00

Stripe Credit Card *

Card

Name on Card