Online Application

Required fields are marked with a **

About You

Name (Last, First, Middle, Nickname)**

Social Security Number**

Telephone Number**

Gender**
male female
Email Address

Mailing Address**

Home Address

County of Home Address

Date of Birth**

Place of Birth

Are you a U.S. Citizen?**
yes no
Military Status
Reserve Veteran
Type of Discharge

Marital Status
Single Married Widowed Divorced
Have you ever been involved in or arrested for any criminal activity?**
yes no
If yes, give a full explananation of your activity and the case in a separate email to , including the current status of your case. Great Lakes Christian College does not have a policy of excluding individuals based on this information, but will consider each case to safeguard the security of the College.

The US and Michigan Departments of Education request information on your ethnic origin:
African-American/Black/Non-Hispanic White/non-Hispanic caucasian Native-American Indian or Alaskan Native Asian or Pacific Islander Hispanic Multiracial (parents of different races)

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Your Faith

Do you consider yourself a Christian**
yes no
If, yes, describe your relationship to Jesus Christ. Include a statement indicating how you became a Christian. If no, describe why the Christian emphasis of Great Lakes Christian College appeals to you.**

Church you attend

Minister's name

Address

Phone

How frequently do you attend?

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Enrollment Information

Will enroll as**
Freshman Transfer student
Living Arrangements**
On Campus Off Campus
Which Semester do you plan to enroll?
Fall Semester Spring Semester
Which year do you plan to enroll?
2004 2005 2006 2007 2008 Later
Status
Full-time Part-time
What program or major do you intend to pursue?**

Have you filed or do you plan to file the free application for federal student aid?**
yes no
How are you planning to finance you education? (check all that apply)

      Scholarships

      Personal Savings

     On-Campus Work

     Off-Campus Work

     Parents

     Loans

     Grants

     Other (list in space):
     
How did you first learn about GLCC?

To what other colleges have you applied or are you expecting to apply for admission?

Have you visited the GLCC campus?**
yes no

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Previous Education

High School Education
Public Private Home-Schooled GED
Year of Graduation (or anticipated year of graduation)**

High School:

High School Phone:

High School Address:

List all institutions of higher education you have attended since high school:

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Your Family

Family members (select one option and enter respective name(s):
Parent(s) Guardian(s) Spouse
Name (1):

Relationship:

Phone:

Address:

Occupation:

College Attended:

Degree(s)


Name (2)

Relationship:

Phone:

Address:

Occupation:

College Attended:

Degree(s):


Name and grades of all siblings:

Names and relationships of relatives who have attended GLCC

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Extracurricular Activities

What activities do you wish to pursue at GLCC? (check all that apply)

     Baseball

     Basketball

     Volleyball

     Soccer

     Intramural athletics

     Campus ministry

     Discipleship groups

     Missions groups

     Weekend ministries

     Traveling outreach teams

     Drama groups

     Music groups

     Other (list in box):

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Recommendations

List four people over the age of 20 who fit the following categories and would be willing to fill out a personal reference questionaire. Please do not list relatives or employees of Great Lakes Christian College.

Minister:

Phone:

Address:


Church leader

Phone:

Address:


Teacher or employer:

Phone:

Address:


Resident of your community

Phone:

Address:

Great Lakes Christian College seeks to provide a community atmosphere where students can "Love the Lord your God with all your heart and with all your soul and with all your mind." (Matt. 22:37). As a part of this community, each person agrees to uphold an atmosphere of spiritual growth, evangelism, servanthood, respect for all individuals, moral and physical purity, honesty, integrity, and responsibility. If accepted as a student, I am willing to abide by this community agreement and all other guidelines set forth in the Catalog and Student Handbook.

I hereby grant permission to Great Lakes Christian College to contact any references listed on this application. I agree that any such contacts shall not be regarded as an invasion of my privacy. Under the Family Education Rights and Privacy Act of 1974, which gives students the right to examine their education records, students may waive their right to see specific confidential statements and letters of recommendation. In the belief that applicants and the persons from whom they request recommendations may wish to preserve confidentiality of the reference questionnaire, we are giving you an opportunity to waive your right to examine questionnaires sent to the four individuals listed above.

I waive my right to examine reference questionnaires.**
yes no