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NEW STUDENT: MDCCU COURSE REGISTRATION FORM
Please complete each section of the Registration Form and sign electronically. Your Tuition Payment will officially confirm enrollment in the course.
Today's Date
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STUDENT DATA
New Student
TITLE/MINISTRY TITLE
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STUDENT NAME
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First
Middle
Last
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PERSONAL DATA
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Street Address
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State / Province / Region
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Austria
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Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
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Portugal
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East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
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Sierra Leone
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South Africa
Sudan
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United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
STUDENT EMAIL
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Student Mobile Number
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What church or organization are you affiliated with?
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Who can we credit for referring you to MDCCU?
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EDUCATIONAL TRACK
Certificate (30 Credits/10 Courses)
Associates Degree (60 Credits/20 Courses)
Bachelor's Degree (120 Credits/40 Courses)
Master's Degree (180 Credits/60 Courses)
Doctoral Program (240 Credits/80 Courses)
What course(s)will you be taking?
POLICIES, TERMS & CONDITIONS
NOTICE: Please read the following important policies: Enrollment in MDCCU and the earning of any degree offered by CCU requires a HIGH SCHOOL DIPLOMA. The Application process is incomplete without its submission. 1. Class registration and one-time Admissions Application fee of $50 is NON-REFUNDABLE. 2. A certificate of course completion will not be issued until the COURSE is complete (both midterm and final submitted) and final tuition payment submitted prior to the FINAL EXAMINATION. 3. Failure to adhere to payment of TUITION will result in you receiving an “INC” incomplete for the course until all payment arrangements have been satisfied. 4. If tuition payment is not received prior to the FINAL EXAMINATION you will no final grade will be issued by the Registrar. 5. The Maryland Campus of Cornerstone Christian University reserves the right to cancel or reschedule courses with a weeks notice. In the event of such cancellation, all tuition/fees paid will be applied to the next scheduled course. 6. Students will not be permitted to register for other CCU courses until tuition/financial obligations have been satisfied for all previous courses. 7. WITHDRAWAL FROM CLASSES: A student can officially withdraw via email to CORNERSTONEMDCAMPUS@GMAIL.COM, without academic or financial penalty prior to the first day of the class; If a student officially withdraws via email, after the 2nd class meeting, you are financially responsible for $100 of the total tuition.
REGISTRATION CONFIRMATION
NOTICE: You are reserving a seat in the next COURSE at MDCCU. Your reservation will hold your place while the ADMISSIONS PROCESS is being completed. (You will not be OFFICIALLY enrolled in the course until you have submitted your TUITION deposit.) MDCCU accepts CASH APP payments @ $TIMBRELCCU or website payments via WWW.CORNERSTONEMDCAMPUS.ORG. I understand by ELECTRONICALLY signing below, I have read and accepted the terms stated on this form.
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