EmailMe Form - MDCCU: MASTER'S FOR PASTORS REGISTRATION

Today's Date *
MM / DD / YYYY
STUDENT DATA
New Student
TITLE/MINISTRY TITLE *
STUDENT NAME *
First Middle Last Suffix
PERSONAL DATA *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
STUDENT EMAIL *
Student Mobile Number *
### - ### - ####
What church or organization are you affiliated with? *
DEGREES OFFERED
Bachelor's Degree (120 Credits/40 Courses)
Master's Degree (48 Credits/16 Courses)
Doctoral Program (48 Credits/16 Courses)
How many credits will you be transferring from other Colleges or Universities? List College and credit totals. Please send TRANSCRIPTS to CORNERSTONEMDCAMPUS@GMAIL.COM within 30 days.
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 both your TRANSCRIPTS and 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.
Signature *
Clear