Kingswood University Application Form

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Your Email:

A Password:

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Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

First Name:

Last Name:

Email:

Mobile Phone:

Home Phone (if different than mobile):

Address

Street Address:

City:

Country:

Province:

State:

Postal/Zip Code:

What level of education are you applying for?

Select Program:

Program Format:

Select Major:

Course load:

Incoming Status:

Starting Semester:

Starting Term:

Starting Cohort:

Are you currently on staff at a school?

YesNo

Name of school:

Course Selection:

Housing plans:

Personal Information

Date of Birth:

Citizenship

Gender:

Social Insurance/Security Number

Current Employer:

Marital Status:

Spouse's First Name:

Spouse's Last Name:

Spouse's Email:

Spouse's Occupation:

Do you have children?

Yes

Please enter your children's names and ages:

Family Information

Which parent's information would you like to enter?

Father's Information

Father's Last Name:

Father's First Name:

Father's Email

Father's Occupation

Mother's Information

Mother's First Name:

Mother's Last Name:

Mother's Email:

Mother's Occupation:

Church Information

Church Name:

Street Address:

City:

Denomination:

Country:

Province:

State:

Postal/Zip Code:

Pastor's Name:

Youth Pastor (if applicable):

List activities you are involved in at church:

List activities you are involved in at school, in your community, etc.:

Academic History

Name of High School you will be graduating from (or have graduated from):

City:

Country:

Province:

State:

Date of High School Graduation:

Education Level:

Are you a Kingswood graduate?

Yes

Have you been enrolled in any college/university courses?

Yes

College/University Information

Name of institution attended:

Approximate Start Date:

Did you graduate from this program?

YesNo

Graduation Date

Degree

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Campus Visit	Conference/Rally/Event
Facebook	Family
Friend	Instagram
Kingswood Staff/Student/Alumni	Other
Print Material	Search Engine
Summer Ministry Teams	Word of Mouth
Youth Pastor/Pastor