BSCL Certificate Program

Christian Leadership Certificate

Application for Admission
Full Legal Name
Please include Maiden name, if married, and all names that may appear on transcripts.
Preferred Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
Cell Phone
S.S. Number
As prescribed by the Department of Education and the National Center for Education Statistics, we are required to ask for demographic information including racial backgroud. This information is not used in the admission process. Using the terminology of the NCES, please answer each of the following:
1. Are you Hispanic/Latino?

YesNo
2. Respond Yes or No to each of the following groups:
a. American Indian/Alaskan Native

YesNo
b. Asian

YesNo
c. Black or African American

YesNo
d. Hawaiian/Pacific Islander

YesNo
e. White

YesNo
The following information questions do not affect the Admissions process. They are optional and are used for statistical and record identification purposes only.
Gender:

MaleFemale
Date of Birth
U.S. Citizen?

YesNo
If no,

Permanent ResidentResident AlienNon-resident Alien
Graduate of
High School, City, State, Zip, Year
List all colleges previously attended:
Name and Location of Institution, Dates Attended, GPA
Last College Attended
Are you currently enrolled?

YesNo
Classification
When do you plan to enter Union

Fall 2022Spring 2023Summer 2023Fall 2023Other
Choice of Certificate (Choose One):

Introduction to Christian LeadershipCertificate in Biblical Studies
Official transcripts and standardized test scores are not required of students admitted as Non-Degree Students. Students who wish to change to Degree status must submit official transcripts and required standardized test scores as stated in the Academic Catalogue for their particular admission status. No additional application fee is required. Non-Degree Students can only remain in this status for one semester. Students wishing to be Non-Degree for a subsequent semester must complete an application for admisson each semester.
Please state your reason(s) for applying as a Non-Degree Student.
At any time, have you been charged, arrested, or convicted of a criminal offense of any nature?

YesNo
If so, please give specific details of each occurrence.
Annual reports indicating compliance with the Student Right-to-Know and Campus Security Act are available for viewing in the Office of Safety and Security during regular office hours. Admission to the University does not automatically guarantee admission to specific academic programs within the University.

In compliance with all applicable state and federal law, including provisions of Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973, Union University doe not illegally discrimiate on the basis of race, sex, color, national origin, age, disability, or military service in admissions; in the administration of its education policies, programs, activities; or in employment. Under federal law, the university may discriminate on the basis of religion in order to fulfill its purpose. Persons who believe their rights under this policy have been violated should contact the Office of the President, Union University.
By signing below, I agree to abide by the rules and regulations of the college as described in the Academic Catalogue and The Student Handbook.

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Christian Leadership Certificate