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Campus

Campus^*

Term^*

Fall Spring

Personal Information

First Name^*

Last Name^*

Birthday^*

MM-DD-YYYY

Gender^*

Female Male

Phone Number^*

Email^*

Address^*

City^*

State^*

Zip Code^*

United States Citizen^*

Yes No

Marital Status^*

Single Married Divorced Separated Widowed

Do you have Children?^*

Yes No

Program of Study^*

Certificate of Ministry Leadership Certificate of Professional Studies SEU Degree

How did you hear about Free Chapel College?^*

FCY Student^*

Social Media Account^*

Shirt Size^*

Educational Information

Education^*

Freshman Sophomore Junior Senior Some College Associates Degree Bachelors Degree Masters Degree

Please check highest level completed

Financial Information

Do you have a financial plan to cover tuition and personal expenses^*

Yes No

Will you need housing?^*

Yes No

Employment^*

Part-Time Full-Time Self Employed Looking for Work Not Employed

Employment Information

Please provide your place of employment and the length of your employment.

Comments

Christian Experience

Year of Salvation^*

Have You Been Water Baptized?^*

Yes No

Current Church Info^*

Please provide name of church, Senior Pastor and church address

Pastoral Reference (not related to you)^*

Please provide name, email and phone number

Personal Reference (not related to you)^*

Please provide name, email and phone number

Personal Challenges

Background Information

Background check^*

I authorize a Free Chapel to conduct a background check

I, the undersigned, do hereby authorize First Advantage, on behalf of Free Chapel to procure a consumer report and examine any and all criminal records, warrants, and arrests on file. I will not hold Free Chapel, First Advantage or any of its members, directors, or anyone employed by said companies liable for any information found that may prove to be incorrect or that may have an adverse effect on my employment. I understand that the following information is for the purpose intended only.

Do you agree to answer the following questions to the best of your ability?^*

Yes No

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.

Have you ever used illegal drugs?^*

Yes No

Have you ever been arrested, charged or convicted of a Misdemeanor or Felony?^*

Yes No

Explanation of use

Describe

Portfolio

Practicum Video

Worship Practicum Students:
Record a 30-60 second clip of you playing and/or singing one of the following:
- "Glorious Day" by Passion
- "Jireh" by Maverick City Music
- "Who You Say I Am" by Hillsong

Media Practicum:
Please submit 3-6 examples from your portfolio of some of videos and/or graphics you personally edited, created, or contributed.

Pastoral Practicum:
Please record a 30-60 second video of yourself explaining why you would like to attend Free Chapel College.

*Max 5MB
Please email college@freechapel.org if larger

Profile Picture^*

Please upload a clear digital headshot.

Submit

Acceptance and Verification^*

I understand and agree to the terms listed below.

I understand that this application is for admission only for the program indicated. I agree that I am bound by the University’s and Free Chapel'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 to the best of my knowledge. I understand that knowingly making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of admission and/or invalidation of credit or degrees earned.

I understand that the application fee I submit with this application is a non-refundable fee.

Transcripts: All applicants should submit an official transcript indicating graduation from high school or successful completion of a GED or equivalent. Applicants who have earned college credit should submit transcripts from all colleges attended.

Billing Address^*

Please provide: Address, State, Zip Code

Fees

Other Fees
	Free Chapel College Application Fee	50
	Total	0.00

Free Chapel College Application

Campus

Personal Information

Educational Information

Financial Information

Christian Experience

Background Information

Portfolio

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