Concordia College-Selma
ccsnewbanner
Admissions Home
Financial Aid
Net Pricing Calculator
General Requirements
International Students
New Student Orientation
Online International Application for Admission
 
By submitting this online application you are attesting to the truth of all items. Upon submission, you will be contacted by Concordia College Selma.
 
 

INSTRUCTIONS:  Complete or check blocks that apply to you.  All required fields must be completed in order to submit your application. 

 

International Student Application for Admission:

1.
* I am applying as: (1 required)
Beginning Freshman   Transfer
Special (Non-Degree)   Returning Student
2.
*

I am applying for:

 (1 required)
Fall Semester 2011   Spring Semester 2012

STUDENT INFORMATION:
3.
* Last Name, First Name, M.I. (Maiden)
4.
* Home Street Address:
5.
* City, State, County, Zipcode:
6.

International P.O. Box
7.
* Telephone Number:
8.
Email Address:
9.
* Sex:
Female   Male
10.
* Marital Status: (1 required)
Married   Single
Divorced   Separated
11.
* Date of Birth (month/day/year):
12.
Place of Birth:
13.
Religious Denomination:
14.
* Do you have children?
No   Yes
15.

Country:
16.
* Name of Graduating High School / Year:
17.

High School Street Address / City / State / Zipcode or P.O. Box / Country
18.
* Rank in high school graduating class: (1 required)
Top 10%   Top 25%
Other
19.
Cumulative Grade Point Average:
20.
List all Colleges or Universities attended (including Concordia College, if applicable):
21.
* Are you academically eligible to re-enter the last college or university you attended?
Yes   No
22.
* Are you socially eligible to re-enter the last college or university you attended?
Yes   No
Your classification at Concordia College:
23.
* Attendance:
Full Time (12 or more credit hours)   Part-Time (Less than 12 credit hours)
24.
* Classification: (1 required)
Freshman   Sophmore
Junior   Senior
Transfer   Transient
Other
25.
* Housing:
On-Campus   Off-Campus
26.
Intended Major / Minor:
27.
* Do you plan to enter Lutheran church work?
Yes   No
28.
*

Indicate your enrollment intent at Concordia College:

 (1 required)
To Earn an Associate of Arts Degree (AA)   To Earn a Bachelor of Science Degree (BS)
To Earn Credits to Transfer Elsewhere   To Earn Certificate Work
Unsure
29.
* Has anyone in your family attended college?
Yes   No
30.
* If yes, indicate which member(s): (1 required)
Mother   Father
Sister   Brother
N/A
31.
*

How did you learn about Concordia College-Selma?

 (1 required)
Poster/Radio/TV/Newspaper/Brochures   Internet
Currently Enrolled Student   Other
32.
Name of Recruiter or Person who Recruited You:
Parent/Guardian Information
33.
* Name of Parent or Guardian(s):
34.

Street Address of Parent or Guardian(s):
35.

Parent/Guardian(s) City / State / Zipcode/ P.O. Box

IF ADMITTED, I AGREE TO ABIDE BY THE RULES AND REGULATIONS OF CONCORDIA COLLEGE-SELMA.
36.
*

Date of Application:

Type in the text that you see above:

  

 

 

Concordia College Selma       
1712 Broad Street
Selma, AL 36701

Phone: 334-874-5700
Contact Us

 

Powered by Faithwebsites