Enrollment Application Demographic Information Enrollment Application Demographic Information What is your full name?Name* First Middle Last Other NamePlease identify any maiden or other name that you have used?Preferred NamePlease provide us with any preferred first name you want to go by?What is your race / ethnicity?Race / Ethnicity* Hispanic/Latino Other Race / Ethnicity (Check all that apply)* American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Nonresident Alien Race and Ethnicity unknown What is your sex?What is your sex?* Male Female What is your date of birth?What is your date of birth?*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Are you married?Are you married?* Yes No Are you a US Citizen or Permanent Resident?Are you a US Citizen or Permanent Resident?* Yes No Social Security Number*Note: We ask this because LCU is required to provide anyone who pays tuition costs in a given year with a tax form that can be used to request a federal income tax deduction. We can't meet this obligation or provide you with the form without your social security number.Of what country are you a citizen?*APO-AEArgentinaAustraliaAustriaBahamasBahrainBrazilBulgariaCameroonCanadaChileChinaColombiaCosta RicaCyprusCzech RepublicDemocratic Republic of the CongoDominican RepublicEcuadorEnglandEritreaEthiopiaFranceGambiaGermanyGhanaGuineaGuyanaHaitiHondurasHong KongIndiaIndonesiaIsraelItalyJamaicaJapanKenyaLiberiaMacedoniaMalawiMalaysiaMexicoMyanmarNepalNew ZealandNicaraguaNigerNigeriaNorwayPakistanPanamaPapua New GuineaPeruPhilippinesPolandRomaniaRussiaSierra LeoneSingaporeSouth AfricaSouth KoreaSpainSt LuciaSwazilandSwedenSwitzerlandTaiwanTanzaniaThailandTrinidad and TobagoUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesVenezuelaVietnamZambiaZimbabweOther Please specify*If your country was not listed.Is English your first / native language?Is English your first / native language?* Yes No Are you a veteran?Are you a veteran? Yes No What is your permanent residence?Address* Street Address Apt / Number City State / Province / Region ZIP / Postal Code Country APO-AEArgentinaAustraliaAustriaBahamasBahrainBrazilBulgariaCameroonCanadaChileChinaColombiaCosta RicaCyprusCzech RepublicDemocratic Republic of the CongoDominican RepublicEcuadorEnglandEritreaEthiopiaFranceGambiaGermanyGhanaGuineaGuyanaHaitiHondurasHong KongIndiaIndonesiaIsraelItalyJamaicaJapanKenyaLiberiaMacedoniaMalawiMalaysiaMexicoMyanmarNepalNew ZealandNicaraguaNigerNigeriaNorwayPakistanPanamaPapua New GuineaPeruPhilippinesPolandRomaniaRussiaSierra LeoneSingaporeSouth AfricaSouth KoreaSpainSt LuciaSwazilandSwedenSwitzerlandTaiwanTanzaniaThailandTrinidad and TobagoUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesVenezuelaVietnamZambiaZimbabwe What is your phone number?Phone*Is this number a cell phone? Yes No May we text it? Yes No Who is your cell phone carrier?*What is your email address?Email* Are you the child of a LCU alumni? Yes No Who? Church InformationHave you accepted Jesus as your Lord and Savior?Have you accepted Jesus as your Lord and Savior?* Yes No What is the name of your home church?What is the name of your home church?*Home Church Location* City State / Province / Region What is the name of the senior minister / pastor of your home church?What is the name of the senior minister / pastor of your home church?What is the denominational affiliation (if any) of your home church?What is the denominational affiliation (if any) of your home church?Advent Christian ChurchAfrican Methodist EpiscopalAfrican Methodist Episcopal ZionAmerican Baptist Churches USAAnglican Church of CanadaAnglican, OtherAssembly of GodAssociate Reformed Presbyterian ChurchAssociated Gospel Churches of CanadaBaptistBaptist Convention of Ontario and QuebecBaptist General Association of VirginiaBaptist General ConferenceBaptist General Convention of TexasBaptist Missionary Association of AmericaBaptist State Convention of North CarolinaBible FellowshipBrethren Church (Ashland, Ohio)Brethren in Christ ChurchBuddhistByzantine Catholic Archeparchy of PittsburghCanadian Baptist of Western CanadaCanadian Convention of Southern BaptistsCanadian Reformed ChurchesCatholicChristian and Missionary AllianceChristian Brethren (Plymouth Brethren)Christian ChurchChristian Church (Disciples of Christ)Christian Churches and Churches of ChristChristian Methodist EpiscopalChristian Reformed ChurchChurch of God (Anderson, Indiana)Church of God (Cleveland, Tennessee)Church of God in ChristChurch of the BrethrenChurch of the NazareneChurches of ChristChurches of God, General ConferenceCommunity FellowshipConference of MennonitesCongregationalConservative Baptist Association of AmericaConvention of Atlantic Baptist ChurchesCooperative Baptist FellowshipCumberland Presbyterian ChurchDenominationEpiscopal ChurchEvangelical Church in CanadaEvangelical Congregational ChurchEvangelical Covenant ChurchEvangelical Formosan ChurchEvangelical FreeEvangelical Free Church of AmericaEvangelical Free Church of CanadaEvangelical Lutheran Church in AmericaEvangelical Lutheran Church in CanadaEvangelical Presbyterian ChurchFellowship of Evangelical Baptist Churches, CanadaFellowship of Grace Brethren ChurchesFellowship of Grace Brethren ChurchesFoursquare Gospel ChurchFree Methodist ChurchFriends, QuakerGeneral Association of General BaptistsGeneral Association of Regular Baptist ChurchesGeneral Baptist State Convention of North CarolinaGeneral Church of New JerusalemGreek Orthodox Archdiocese of AmericaHeritage Reformed Congregations (USA and Canada)Independent BaptistIndependent MethodistInter/MultidenominationalInternational Church of ChristJewishKorean American Presbyterian ChurchKorean Evangelical Holiness ChurchLutheran Church - CanadaLutheran Church - Missouri SynodLutheran, OtherMennonite Brethren Church in North AmericaMennonite Church CanadaMennonite Church USAMennonite, OtherMethodistMIssionary AllianceMissionary BaptistMissionary Church in CanadaMoravian Church in North AmericaMormonMuslimNational Assoc. Congregational Christian ChurchesNational Baptist ConventionNon-InstrumentalNondenominationalNoneNorth American Baptist ConferenceOrthodox Church in AmericaOrthodox PresbyterianOrthodox, OtherOtherPentecostalPentecostal Assemblies of CanadaPresbyterianPresbyterian Church (U.S.A.)Presbyterian Church in AmericaPresbyterian Church in CanadaPresbyterian Church InternationalProgressive National Baptist ConventionReformed ChurchReformed Church in AmericaReformed Church in CanadaReformed Episcopal ChurchReformed PresbyterianReligious Society of FriendsRoman CatholicSalvation ArmySeventh Day Baptist General ConferenceSeventh-day AdventistSouthern Baptist ConventionSwedenborgian Church, General ConventionUnion d'Eglises Baptistes Francaises au CanadaUnitarian UniversalistUnited Church of CanadaUnited Church of ChristUnited Methodist ChurchUnited Pentecostal Church InternationalVineyardWesleyan ChurchWisconsin Evangelical Lutheran SynodOther Please specifyIf your denominations was not listed.Marketing InformationHow did you first hear about LCU?How did you first hear about LCU?*Current LCU StudentPast LCU StudentLCU employee (including faculty, staff, or coach)ParentSiblingFamily MemberPastorChurchCamp TeamCollege FairBillboardPrint AdvertisementRadio AdvertisementLCU Event (Vine, Elder and Church Leader Conference, etc)Internet SearchInternet AdvertisementSocial MediaOther Who?*Where?*What made you decide to apply to LCU?What made you decide to apply to LCU?*Current LCU StudentPast LCU StudentLCU employee (including faculty, staff, or coach)ParentSiblingFamily MemberPastorChurchCamp TeamCollege FairBillboardPrint AdvertisementRadio AdvertisementLCU Event (Vine, Elder and Church Leader Conference, etc)Internet SearchInternet AdvertisementSocial MediaOther Who?*Where?*Past Academic InformationPlease list any college, university, or vocational school you previously (or currently) attended.Please list any college, university, or vocational school you previously (or currently) attended.College / University / SchoolDegrees Received or Hours Completed Will you be seeking to have a transfer credit applied to your degree?Will you be seeking to have a transfer credit applied to your degree?* Yes No If you are, or will be at the time of enrollment, a high school graduate, please identify the name of the high school you have graduated from or will graduate from and identify the city and state in which it is located.If you are, or will be at the time of enrollment, a high school graduate, please identify the name of the high school you have graduated from or will graduate from and identify the city and state in which it is located.Name of High SchoolCity, State If you are not a high school graduate, have you secured high school equivalency?If you are not a high school graduate, have you secured high school equivalency? Yes No Future Academic InformationWhat academic program are you interested in completing?What academic program are you interested in completing?*English Language AcademyNon DegreeDual Enrollment (LEAP)Certificate in Christian ServiceSpiritual Formation CertificateAA in BibleAA in EducationAS In Pre-NursingBA in Biblical StudiesBA in Business AdministrationBA in Children's MinistryBA in Christian MinistryBA in Communication StudiesBA in Intercultural StudiesBA in PhilosophyBA in Preaching MinistryBA in PsychologyBA in Spiritual Formation and MinistryBA in Worship MinistryBA in Youth and Family Ministryundergraduate undecidedMA (Biblical Studies)MA (Church History/Historical Theology)MA (Philosophy and Apologetics)MA (Theology)MA in Bible and TheologyMA in CounselingMA in Formative WorshipMA in Intercultural StudiesMA in MinistryMA in Organizational LeadershipMA in Spiritual FormationMaster of Divinity (MDiv)Master of Religious Education (MRE)Doctor of Ministry Date of High School GraduationMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What type of degree are you seeking? Undergraduate Degree Graduate Degree Non DegreeAuditGuest Student What class do you want to audit?An auditor is someone who participates in a course but does not want credit for it. A dual enrollment student is one who takes a course from us for college credit while still in high school.A guest student is someone who takes a course from us for credit but does not plan to apply that credit to an LCU degree.Are you a non-traditional student?* Yes No A non-traditional student is a student who is age 23 or older, married, or placebound.Would you like to obtain your degree online or on campus?* Online On Campus After you complete the application, we can help you choose a major - or you can declare a major later.MA in MinistryChristian Education specializationIntercultural Studies specializationLeadership Studies specializationPastoral Care and Counseling specializationPreaching specializationWorship Studies specializationGeneral Ministry (no specialization) MA (Biblical Studies)Biblical Languages specializationNew Testament specializationOld Testament specializationGeneral Bible (no specialization) Master of Divinity (MDiv)Christian Education specializationIntercultural Studies specializationLeadership Studies specializationPastoral Care and Counseling specializationPreaching specializationWorship Studies specializationGeneral Ministry (no specialization)Church History/Historical TheologyTheologyPhilosophy and ApologeticsBiblical Languages specializationNew Testament specializationOld Testament specializationGeneral Bible Doctor of MinistryChurch/Parachurch Leadership specializationPastor Care specializationPreaching specializationSpiritual Formation specializationCongregational Ministry (no specialization) In what semester would you like to begin?In what semester would you like to begin?*Spring 2019Fall 2019 In what semester would you like to begin? Disciplinary / Criminal InformationHave you ever been disciplined, dismissed, asked to withdraw, or placed on any kind of probation or conditional enrollment status at any high school, college, university, or vocational school?Have you ever been disciplined, dismissed, asked to withdraw, or placed on any kind of probation or conditional enrollment status at any high school, college, university, or vocational school?* Yes No Please explain what happened and specifically include when and where the underlying conduct/actions took place.Have you ever been prosecuted for, convicted of, adjudicated responsible for, or plead guilty to any crime beyond a minor traffic conviction?Have you ever been prosecuted for, convicted of, adjudicated responsible for, or plead guilty to any crime beyond a minor traffic conviction?* Yes No Please explain what happened and specifically include when and where the underlying conduct/actions looks place.