Covenant Partner Application

Please fill out the below application information for our Online Christian Ministries program at Anderson University. Once you have submitted your application, a copy of your high school transcript will be needed for moving you through the admission process.

Biographic Information

First Name

Middle Name

Last Name

Preferred First Name

Birthdate

Gender

Female

Male

Email Address

Cell Phone Number

May we text you?

Yes

Home Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Primary Citizenship

Secondary Citizenship

Social Security Number (Omit Dashes)

Are you Hispanic or Latino?

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Academic History

Are you a transfer student?

Yes

**Transfer students have earned 12 or more college credits AFTER graduating from High School

High School:

If you are home schooled please either select "Home Schooled (In-State)" -for Indiana or "Home Schooled (Out of State)" -out of Indiana

Graduation Date

Most Recent College

CEEB Code