Watch
Media
- Podcast
- Blog
Who We Are
Connect
Events
- Gathering Of Pearls Conference
Store
Give
Stay Connected

PATHWAY TO FAITH

HCIO ONLINE
Button
HCIO WEST

TOPEKA, KS
Button
HCIO NORTH

ST. JOSEPH, MO
Button
HCC

LEAVENWORTH, KS
Button

Enrollment Application

Contact Us

APPLICANT INFORMATION

APPLICANT INFORMATION

First Name:

Last Name:

Street Address:

City:

State:

Country:

Email:

Phone:

Are you a citizen of the United States?

Y

No

If no, are you authorized to seek education in the U.S.?

Yes

No

Have you ever applied to this college?

Yes

No

If yes, when?

Have you ever been convicted of a felony?

Yes

No

If yes, explain:

EDUCATION

EDUCATION

High School:

Address:

From:

To:

Did you graduate?

Yes

No

Diploma:

College:

Address:

From:

To:

Did you graduate?

Yes

No

Degree:

College

Address:

From:

To:

Did you graduate?

Yes

No

Degree:

Other:

Address:

From:

To:

Did you graduate?

Yes

No

Degree:

REFERENCES

REFERENCES

Please list three professional references, one of which must be your pastor with a letter of recommendation.

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

EMPLOYMENT HISTORY

EMPLOYMENT HISTORY

Company:

Phone:

Address:

Supervisor:

Job Title:

Responsibilities:

From:

To:

Reason for leaving:

Is this individual one of references listed above?

Yes

No

Company:

Phone:

Address:

Supervisor:

Job Title:

Responsibilities:

From:

To:

Reason for leaving:

Is this individual one of references listed above?

Yes

No

MILITARY SERVICE

MILITARY SERVICE

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

MEDICAL HISTORY

MEDICAL HISTORY

Do you have food allergies?

Yes

No

If yes, list and include method of treatment:

Is there anything health related we should be aware of to assist you if need be?

Yes

No

If yes, provide information below:

In case of emergency, would you like us to contact someone?

Yes

No

Emergency Contact Full Name:

Relationship:

Address:

Phone:

ENROLLMENT

ENROLLMENT

Are you seeking full-time or part-time enrollment?

Full-Time

Part-Time

Are you seeking Residential enrollment?

Yes

No

DISCLAIMER & e-SIGNATURE

DISCLAIMER & e-SIGNATURE

Opt-In

By checking, I certify that my answers are true and complete to the best of my knowledge. If this application leads to enrollment, I understand that false or misleading information in my application may result in my release.

Please upload your typed, doubled spaced, 500-word personal essay of why you are seeking admission into Harvest Christian College and what you expect as a student.

Opt-In

By checking, I certify that as a student of Harvest Christian College, I release and hold harmless Harvest Church/Harvest Christian College, its officers, agents, and employees from all liabilities for personal injury, including death, or property damages loss arising out of my participation in any and all Harvest CHurch and Harvest Christian College activities.

Opt-In

By checking, I indicate that if accepted into Harvest Christian College, I will:

abide by all rules and regulations governed by Harvest Christian College
be responsible for meeting all financial obligations with my enrollment, tuition, books, fees, etc.
pay non-refundable and non-transferable general and application fees with this application

Thank you for contacting us.
We will get back to you as soon as possible.

Oops, there was an error sending your message.
Please try again later.

SERVICE TIMES:

Kansas City, MO

Sunday Service 9:30am CST

Wednesday Bible Study 7pm CST

Topeka, KS

Sunday Service 9:30am CST

Wednesday Bible Study 6:30 pm CST

St. Joseph, MO

Sunday Service 10:00am CST

College Night Worship 7pm CST

USEFUL LINKS:

I Am New
eCampus
Harvest Christian College
Serve
Give

CONTACT US:

OFFICE HOURS:

Mon-Fri – 9:00am-5:00pm CST

Sat & Sun – Closed

*Main Campus ONLY

© 2024

Harvest Church | All Rights Reserved | Disclaimer | Powered by GlobeReach Media

Share by: