Pacific Christian College: Apply Now

* Date:
* Last Name:
* First Name:
Middle Name:
* Email:
* Mailing Address 1:
Mailing Address 2:
* City:
State:
* Zip Code/Postal Code:
Country:
* Current Phone:
Cell Phone:
Fax Number:
Gender:	Male Female
* Social Security #:	- -
* Date of Birth:	Day Year
Are you a citizen of the United States of America?	Yes No
If no, what country?
If you are a Foreign National now residing in the U.S., what is your current visa status?	Student Visa Resident Alien
Name of Parent or Guardian:
Parent/Guardian's Address:
Parent/Guardian's City:
Parent/Guardian's State
Parent/Guardian's ZIP/Postal Code:

I will be entering as a	Freshman Transfer Student
Degree/Program sought:
Major program of interest of study:
Career Goal:
* I plan to enroll for:	Year
Status:	Full-time Part-time
How did you hear about Hope*?:	If other, please specify:

Financial Aid Information

Have you received aid from Hope?	Yes No
From another college?	Yes No
Have you received either	Cal Grant A Cal Grant B Neither
If you have, are you still eligible?	Yes No
Have you filled out one of the following forms?	Financial Aid Form (FAFSA) Family Financial Statement (ACT) Student Aid Application for California (SAAC) Application for Federal Student Aid (AFSA)

Test Scores

Check the appropriate box. I have taken:	SAT (Hope code number is 4614) ACT (Hope code number is 0356) I have not taken the required tests.
Official results required from SAT/ACT or documented scores on official High School transcipt.

Educational Background

High School	City and State	Date Graduated	GPA (4.0 basis)

College, University, or Military School	City & State	Dates Attended	Sem. Units Finished	GPA (4.0 basis)
		From to
		From to
		From to

Ethnic Origin (optional)

American-Indian
Hispanic

Caucasian
Asian or Pacific Islander

African-American

Church Background

Home Church Name:
Preaching Minister:
Home Church Address:
Home Church City:
Home Church State:
Home Church ZIP/Postal Code:
Home Church Phone:
Responsibilities/Leadership roles held:
Time Attended/Participated:	From to