Legacy College Of Ministry

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Emergency Contact

Name *

First

Last

Relationship to applicant

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Universities that are recipients of federal dollars are required by the Federal government to solicit certain demographic information to meet federal reporting requirements. Applications are requested to provide the following information voluntarily. This information will not be utilized in a discriminatory manner.

Nation of Citizenship

Race / Origin

Native Language

Religion

Church Affiliation

Pastor's Name and Email or Phone Number

Your role in your church

Gender

Are you a veteran of the U.S. Military?

Date / Time

This application is for enrollment as:

What is your planned major?

Which campus do you seek admission?

If your records have been expunged pursuant to applicable law, you are not required to answer yes to the following questions. If you are unsure whether to answer yes, we strongly suggest that you answer yes and fully disclose all incidents to avoid any risk of disciplinary action or revocation of your offer of admission.

Are you currently or have you ever been charged with or subject to disciplinary action for scholastic or any other type of misconduct at any educational institution? *

Yes
No

If yes, please explain

Have you ever been charged with a violation of the law which resulted in, or if still pending could result in, probation, community service, a jail sentence, or the revocation or suspension of your driver’s license (including traffic violations which resulted in a fine of $200 or more?) *

Yes
No

If yes, please explain

Education History

High School Name

High School CEEB Code (6 digits)

Expected Graduation Date

High School Address

Address Line 1

Address Line 2

City

State

Zip Code

High School Phone

Highest Level of Education Completed

University Name and Degree Completed

Please provide the names of people in your immediate family who have attended the University.

Name

First

Last

Relationship

Name

First

Last

Relationship

Extracurricular, Personal and Volunteer Activities

Extracurricular Activities

List your organizations, position, description of the activity, and hours per week of involvement.

Talents and Awards

List each, a description, the level, and number of years of involvement.

Community Service Work

List the type of work, your role, and hours per week of involvement.

Employment

List the job, your title, description, hours per week, and dates of employment.

Attach an additional Word, PDF or text document if necessary

Click or drag a file to this area to upload.

Parent Information

The information requested below is optional, but it may assist in the review of your admission. You are strongly encouraged to complete this section.

Father or Legal Guardian Occupation

Father or Legal Guardian Education

Mother or Legal Guardian Occupation

Mother or Legal Guardian Education

Please indicate your family’s gross income for the most recent tax year. Include both taxed and untaxed income.

Do you have family obligations that keep you from participating in extracurricular activities?

No
Yes, I have to work to supplement family income
Yes, I provide primary care for family member(s)
Other

If yes or other, please describe

For Non-U.S. Citizens Only

City and Country of Birth

What is the status of your VISA?

What type of VISA?

If Other, please specify

I-94 Expiration Date

If you are a permanent immigrant, enter the alien registration number shown on your I-551 form

Which institution issued your last I-20?

Did you attend?

Yes
No

Please attach a photo of your Alien Registration card

Click or drag a file to this area to upload.

Student Photo Upload

Click or drag a file to this area to upload.

LCM requests a picture of each student to be kept on file as part of the student’s permanent record. Please upload a clear headshot in jpeg format here.

Agreement

I understand that this application is for admission only for the term indicated. I agree that I am bound by the University’s regulations concerning application deadlines and admission requirements. I agree to the release of any transcripts and test scores to this institution, including any SAT, Achievement Test, and ACT score reports. I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of admission and invalidation of credit or degrees earned. If admitted, I agree to abide by the policies of the Board of Regents and the rules and regulations of the University. I have read the University Student Handbook, Statement of Faith and Honor Code of Conduct and I am in full agreement. Should any information change prior to my entry into the University, I will notify the Office of Admissions. I understand that the application fee I submit with this application is a non-refundable fee.

Do you understand and agree to the terms listed above? *

Yes, I understand and agree to the terms listed above.

Accreditation Statement

Legacy College of Ministry is a fully accredited Theological Educational School through the International Accreditation of Theological Schools (IATS). IATS is an international accrediting commission founded on the principle that Christian schools must uphold the highest level of sound Biblical scholarship, rigorous educational standards, and integrity to the inerrant Word of God. As such, IATS has put in place a process which guides Christian schools to maintain these core standards as a testimony and witness to the glory of God. IATS is a non-governmental body and makes no claim to be connected with the government. https://www.iatsus.com/. Legacy College of Ministry has received a Letter of Exemption from Certification issued by the Arkansas Department of Higher Education to offer church-related training courses and degrees. Legacy College of Ministry (LCM) is authorized by the Commission for Independent Education to operate under Section 1005.06(1)(f), Florida Statutes pursuant to religious institutions. LCM does not issue I-20 Forms for international students. [8 CFR 214.2 (f)(6)(i)(G) and 8 CFR 214.2 (m)(9)(v)].

Do you understand and agree to the Accreditation Statement listed above? *

I understand that the Legacy College of Ministry is a parochial institution. Credits are not guaranteed to be accepted by secular or state-run programs. Accrediting Commission International is primarily a private school association unrelated to government accreditation. I have read and fully understand the Accreditation Statement above.

Application Disclaimer Statement

The Legacy College of Ministry operates as a religious training for Christian Service. No guarantee is implied or promised for transferal to any government school.

Do you understand and agree to the Application Disclaimer Statement listed above? *

Yes, I understand and agree to the Application Disclaimer Statement listed above.

Signature

Clear Signature