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All the information provided on the application is used by the Admissions Committee to:
1. Determine eligibility and authorize entrance into an academic program
2. Determine eligibility and authorize a Tuition Grant

All application fees are waived. The application is reviewed and processed and your course registration and payment form will be sent to you electronically (Usually within 2-3 working days. Call an Enrollment Advisor at 1-888-346-SMITH) for assistance in Applying/Enrollment.

GENERAL INFORMATION

Helpful Tip: Use your "Tab" key or mouse cursor to move between fields. If you use your "Return" key the Application form will "submit" prematurely. If this happens simply begin the form again.

Title:

First Name:
*
Middle Initial:
Last Name:
*
Suffix (if applicable):

Date of Birth:
*
Date of Application:
*
Address:
*
City:
*
State:
*
Zip/Postal Code:
*
Country:
*

Select Campus Location:

Social Security Number:
*
Gender:

Marital Status:

Race/Ethnicity (Required by U.S. Government):

Email Address:
*
Cell Phone:
Home Phone:
Office Phone:
Denomination:
Referred By (if applicable):

EDUCATION AND PROFESSIONAL BACKGROUND

High School Graduate / GED

First College/University Attended:
Dates You Attended:
Credit Hours Earned:
Semester or Quarter Hours:

Degrees(s) Earned & Date You Graduated:

Second College/University/Seminary Attended:
Dates You Attended:
Credit Hours Earned
Semester or Quarter Hours

Degree(s) Earned & Date You Graduated:

Third College/University/Seminary Attended:
Dates You Attended:
Credit Hours Earned:
Semester or Quarter Hours:

Degree(s) Earned & Date You Graduated:

If more than three list here:

1. Current Occupation - Professional Experience:

2. Ministry Experience: (Please indicate whether full part time or volunteer service)

3. List Additional Training and Experience:

Military Status:

Additional Comments for Admissions (if applicable):

ADDITIONAL INFORMATION FOR TUITION GRANT AUTHORIZATION

1. Current Status:

2. Household Income (Gross):

3. Number of dependents for whom you are financially responsible:

4. Home Status:

If Other (please explain):

PROGRAM APPLICATION

I AM APPLYING FOR THE FOLLOWING DEGREE

APPLICATION CERTIFICATION

I certify that to the best of my knowledge the information provided in this application is accurate and complete. I understand that if this information or any other information upon which my admission is based is found to be inaccurate or incomplete the school may rescind my application or degree. If I am approved for admissions and decide to enroll at Smith Christian University (SCU) I agree to abide by the rules and regulations of the institution as contained in the Catalog and Student Handbook. I acknowledge that all official transcripts that I submit to the school will become the property of SCU and will not be forwarded to another institution or returned to me.

Security code:
*
Do not enter anything in this field:

* indicates a required field

NOTE: Our Secure Server May Require a Few Moments for this Form to Process. Thank You for Your Patience.

Note: You may telephone 1-888-346-SMITH (Toll Free) to have a SCU Advisor fill out the Application Form with you. You may also print this form and FAX it to 954-603-8831 any time day or night. Mail to: Smith Christian University, Admissions, Post Office Box 16482, Plantation, Florida 33318.

Last Updated April 17, 2012 by SCU Web Communications, Marketing and New Media: webcomm@smithuniversity.org
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