Admission Form

First name

Middle name

Last name

Address Line 1

Address Line 2

City

State/Region

Postal Code

Country

Phone Number

Date of Birth

City of Birth

Country of Birth

Nationality

Born again?

Yes

Marital status

Gender

Male

Female

🎓 2. Educational Background

College or specialized training?

Graduated/GED?

Name of High School

Highest year completed (if not grad)

College(s) and degree(s) held with dates

✝️ 3. Spiritual & Ministry Background

How long have you been a Christian?

Baptized by immersion?

Present ministry involvement (be specific)

Ministry goals

Name of present church

Church address

Church city

Church state

Church country

Pastor's name

Pastor's email

Licensed or ordained minister?

📚 4. Program of Interest

Seeking admission for

Planned major (Academic)

Thesis/Dissertation major (Research only)

Qualify for advanced standing?

Expected graduation date

⚠️ 5. Academic & Disciplinary History

Have you ever been: (tick any that apply)

placed on academic probation?

suspended?

denied admission?

dismissed?

expelled by any institution?

Not application.

🌐 6. Additional Information

How did you hear about KLCU?

Ever studied by correspondence/distance?

If yes, school name

Health status

Involved in the occult ever?

If yes, please explain

Treated for emotional/mental conditions?

If yes, explain

Brief history of your conversion and call

📜 Terms & Conditions
By submitting this application, I affirm that all information provided is true and complete. I agree to abide by the policies, academic standards, and code of conduct of Kingdom Life Christian University. I understand that any false statement may result in denial or dismissal.

🏛️ Kingdom Life Christian University

📌 1. Personal Details

🎓 2. Educational Background

✝️ 3. Spiritual & Ministry Background

📚 4. Program of Interest

⚠️ 5. Academic & Disciplinary History

🌐 6. Additional Information