Personal Information: Thank you for applying to San Diego Christian College's Online Program. Please complete all information as thoroughly and accurately as possible.
Title

Legal First Name

Middle Name

Last Name

Preferred First Name

Any Prior Last Name(s)

Date of Birth
  (MM/DD/YYYY)

Government ID-SSN
 Required of all U.S. applicants - Use no dashes (xxxxxxxxx)

Mailing Address Line 1

Address Line 2

Address Line 3

Country
 Select a country from the pull-down list. If your country is not in the list, select *Other and enter the country on Address Line 3 above. 

State / Province
 A country must be selected before a state can be selected. If your state or province is not listed, select *Other and enter the state or province in Address Line 3 above. 

City

Zip Code
Zip+4
 If your address does not require a zip code, enter "NA" in the zip code field. 

You may provide up to three phone numbers. Select the appropriate phone type for each number provided. Please do not use the same phone type more than once. NOTE: To receive automated campus text notifications, you must provide a cell phone number.
Primary Phone Type

Primary Phone Area Code
  
Phone
Country

Secondary Phone Type

Secondary Phone Area Code
  
Phone
Country

Email Address

Country of Citizenship

Residence Country

Residence State / Province

Intended Term of Enrollment


    required and     optional