Professional Documents
Culture Documents
Audit App English
Audit App English
Audit App English
NAME
(Last Name) (Middle Name)
ADDRESS
CITY
STATE
ZIP CODE
HOME PHONE (
WORK PHONE (
AGE
BIRTH DATE
20_______
MEDICAL INFORMATION (USE A SEPARATE SHEET OF PAPER IF NECESSARY) Are you in good health? Do you have any physical handicaps? List any major illness you have had: Do you have any communicable disease? (Explain) Have you been or are you presently under psychiatric or physiological care, or been in counseling or psychotherapy? (Explain) Have you ever been hospitalized or admitted to a treatment facility for any reason? If so, where? (Explain) When was your last complete physical examination?
GENERAL INFORMATION (USE A SEPARATE SHEET OF PAPER IF NECESSARY) Are you a current smoker? (If yes, explain) Do you currently drink alcoholic beverages? (If yes, explain) Do you have any personal history of violence or abuse towards others, or of sexual immorality? (If yes, explain) Does your life currently conform to Biblical standards of morality? (If not, explain) Is there any habitual sin in your life that affects your walk with God? (If yes, explain) Are you currently involved in any problematic interpersonal relationships? (If yes, explain) Have you ever been involved in any non-Christian cult or occult activities? (If yes, explain)
1. Please describe in detail your testimony on how you became a Christian or your born-again experience. 2. Please describe your current church involvement. 3. Where do you attend church? 4. How often do you go to church? 5. How long have you been a part of this fellowship?
STATEMENT OF FAITH (ON A SEPARATE SHEET OF PAPER)
Pastor's name?
Address of church?
Please write a brief, but concise statement (minimum of one paragraph) of your belief regarding the following:
1. THE BIBLE 6. SALVATION 9. THE RAPTURE 2. GOD 3. JESUS CHRIST 4. THE HOLY SPIRIT 5. SIN
STUDENT'S SIGNATURE Please submit this application with a small photograph of yourself.
DATE:
REGISTRATION FORM
Semester: Name (Last): Address: Home Phone #: (
Will be attending: Are you seeking:
Spring
Summer
Fall
Student Email:
PRINT ONLY
)
Full-time Degree
Work Phone #: (
Part-time for credit Certificate of Completion
)
Audit only Personal Interest
Please list all courses you are registering for. Enter information in each box.
Room # Course # Course Title Day Time Units Credit/ Audit
Application Fee $25.00 Registration Fee $25.00 (for Credit Student) F/T Student 12+ Units ($100.00 Reg. Fee non-refundable) $600.00 P/T Student: Total # units _____ x $50.00 AUDIT Student tuition: Total # of classes ____ x $50.00 TOTAL TUITION DUE
= $ ________ = $ ________ = $ = $ = $ = $
PLEASE NOTE: MAIL-IN REGISTRATION MUST BE ACCOMPANIED BY REGISTRATION FEE AND 25% MINIMUM TUITION DOWNPAYMENT - MAKE CHECKS PAYABLE TO: CALVARY CHAPEL OF DOWNEY