Admissions – Step One

This is your “Application for Admissions” form. Make sure all information provided is accurate and up to date. Once you submit this form return to the top of this page and proceed to Step Two. If you will not be applying for residency you may skip Step Two and proceed to Step Three.

Proceed to Step Two | Skip to Step Three

Personal Information

First Name (required)

Middle Name (required)

Last Name (required)

Address 1 (required)

Address 2 (required)

City (required)

Province/State

If "Other" Please State Province/State And Country

Postal/ZIP Code (required)

Birth-date (DD-MM-YYYY)
Month:
Date:
Year:

Birth Place (City, Province/State, and Country) (required)

Citizenship (required)

Social Insurance Number or U.S. Social Security Number (required)

Primary Telephone (With Area Code) (required)

Secondary Telephone (With Area Code) (required)

Your Email (required)

Marital Status (required)

Number of Dependents (required)

 

Name(s) of Parent(s)/Guarian(s) (required)

Address of Parent(s)/Guarian(s) - Same as Above? (required)
Yes No 

If "No" Provide Address (City/Town/Village, Province, Country, Postal Code

Occupation of Parent(s)/Guarian(s) (required)

Primary Telephone of Parent(s)/Guarian(s) (Including Area Code) (required)

Work Telephone of Parent(s)/Guarian(s) (Including Area Code) (required)

 

Have you recieved Jesus Christ as Lord and Savior? (required)

If "yes", when

Name of Church You Currently Attend

If No Church Affiliation, State Preference

Are You Active in Your Congregation?
Yes No 

If "Yes" List Activities

Education

Education - Highest Grade Completed (required)

In What Year (yyyy) (required)

From which Province/State? (required)

Have You Graduated? (required)
Yes No 

If "Yes" What Year (yyyy) and Where From (required)

We require that an official high school transcript be forwarded directly to M.C.C. By checking this box you acknowledge your intent to forward your transcripts as soon as possible. (required)

 

Post-Secondary Education - Have you ever, or are you currently attending a College or University? (required)
Yes No 

 

If "Yes" Detail Total Years or Course Hours, Program, any Degree(s) or Diploma(s) Granted, and What Year(s) those Degree(s) or Diploma(s) Were Granted (yyyy)

 

If “Yes” we require that an official College or University transcript be forwarded directly to M.C.C. By checking this box you acknowledge your intent to forward your transcripts as soon as possible. (required)

 

Registration - What program do you wish to enrole at M.C.C. (required)

Anticipated Enrollment Year (required)

Anticipated Enrollment Semester (required)
September January 

 

It is required that all 1st and 2nd year students live on campus (see p.20, MCC catalogue for exception). Will accomadations be required for the year (dorm room)? (required)
 Yes - If so, you must complete the “Application for Residency” form on Step Two No - If so, you may skip Step Two

Finances

Finances - Do you have adequate finances for your first year? (required)
Yes No 

How are you planning to cover your expenses at M.C.C.? (select all that apply) (required)
 Savings Student Loans Work while in school Scholarships Bursaries Other Unsure

 

If "Other" Please Explain

 

Character

Character - Do you use tobacco, intoxicating beverages, or habit-forming drugs? (required)
 Yes No

If "Yes" Please Explain

Have you ever been arrested or convicted of a criminal offense? (required)
 Yes No

If "Yes" Please Explain

Are there any other personal issues Maritime Christian College needs to be aware of? (required)
 Yes No

If "Yes" Please Explain

Do you accept the Christian ideals of living as set forth in the New testament and are you willing to conduct you life in harmony with them? (required)
 Yes No

If "No" Please Explain

I declare that the above are answered fully and accurately to the best of my knowledge. If admitted, I agree to abide fully with all rules and standards of the college. (required)

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503 University Ave Charlottetown, PE Canada C1A 7Z4
Phone: (902)628-8887 | Fax: (902)892-3959
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