Central Baptist College | Online Studies Application

Last Name: *

First: *

MI: *

Date of Birth: *

Address: *

City: *

State: *

Zip: *

Email Address: *

Primary Phone: *

Secondary Phone: *

Sex: *

Race

Please check one or more of the following:

Non-Resident Alien
American Indian or Alaska Native
Asian
Black or African American
Hawaiian or Pacific Islander
Hispanic or Latino
White
Undisclosed

If you selected two ethnicity types, which one is primary?

(Information regarding the applicant's race or ethnicity is voluntary, and will be used in a nondiscriminatory manner, consistent with applicable civil rights laws.)

Have you attended CBC Before?

Name used when last enrolled at CBC if applies:

Have you ever been dismissed from another college or university?

Yes
No

If so for what reason?

Academic Dismissal
Disciplinary Dismissal
Other

If Other, please explain below:

Please list all colleges/universities you have attended:

If this is your first time to enter college, please indicate if you have completed high school or have a GED:

GED:

Yes
No

High School Graduate:

Yes
No

Date of graduation/GED:

High School:

City:

State:

Military

Is this for a summer session course?

Yes
No

Do you plan to (please check one or more of the following):

Enroll full-time in the Online Studies Program
Supplement studies at another institution with online course work from CBC
Take a limited number of courses for personal use or job advancement, but do not plan to pursue a degree
Begin studies through online studies and complete degree in a traditional setting

What degree do you wish to pursue at Central Baptist College? *

Are you a United States Citizen?

Yes
No

If not U.S. citizen, what country do you hold citizenship:

Will you apply for financial aid?

Yes
No

NOTE: A $25 non-refundable application fee is required for processing this application. You can pay this online using “Paypal” by going to the PACE page in the college web site and opening the Pace Forms page. You may also pay by mailing a check to the college: Online Studies Application

Central Baptist College
1501 College Ave.
Conway, AR 72034

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Online Studies Application for Admission

Admission Requirements:

Race

Admissions

Registrar

Campus Info

Additional Links

Contact Info

QUICK LINKS

APPLY NOW

Online Studies Application for Admission

Admission Requirements:

Race

Admissions

Registrar

Campus Info

Additional Links

Contact Info