CBI-Kairos University Application Form

CBI-Kairos University Application Form

This form is to be used by students applying for dual enrollment at Covenant Bible Institute and Kairos University for admission into a Bachelors, Masters, Blended BA/MDiv, or Doctors Degree program.
Applicant's Name *
Enter your name as you wish for it to appear on official records
Applicant First Name and Last Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth*

MonthDayYear
Date
Address *

Street Address

Street Address Line 2

CityState (Use the two-letter, capitalized abbreviation for your state (e.g. WA))

Zip Code
Country of Citizenship*
Race and Ethnicity*
This information has no bearing on eligibility for admission.
Gender*
This information has no bearing on eligibility for admission.
Denomination*
Which program is being applied for?*
Additional Documents

Please upload a copy of your most recent transcript and a professional resume. Two additional upload fields are available should you wish to provide other documents or transcripts.
Upload student transcripts*

8 MB limit
Cancelof
Upload student resume*

8 MB limit
Cancelof
Upload additional documents

8 MB limit
Cancelof
Upload additional documents

8 MB limit
Cancelof
Pay Application Fee

Please enter your card information below to pay your $25 application fee. Do not complete this section until you have filled out all other sections of your application. When ready, please "Submit Form" to process your payment and send your completed application to Covenant Bible Institute.

Application fee

$25.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

CBI-Kairos University Application Form

Additional Documents

Pay Application Fee