Cornerstone University

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CORNERSTONE UNIVERSITY

804 15th Street
Lake Charles, LA 70601
Phone: (337) 497-1871
Fax: (337) 497-1876

Please send your query to our Headquarters at info@cornerstoneuniv.org

Please download and read before you submit your online application.

CORNERSTONE UNIVERSITY Online Application

Your Full Name:	*
Street Address or PO Box:	*
City:	*
State:	*
Country:	*
Zip or Postal Code:	*
Home Phone:	*
Cell Phone:
Business Phone:
Fax Number:
Social Security Number:
Date of Birth:
Your Occupation:
Total Years In Ministry:
Current Ministry Credentials:
Church Background or Denomination:
Church Presently Attending:
U.S. Citizenship:
Sex:
Marital Status:
Maiden Name if applicable:
Race:
Email Address:	*
Graduate High School?:
How Did You Find Us?:

Please list all colleges, seminaries and universities attended:

Degree	School	Location	Hours	Date

Please indicate the Bible or Ministry degree program for which you are applying:

Associate:	Bachelor:	Masters:	Doctorate:

Please indicate the Counseling degree program for which you are applying:

Bachelors/Masters:	Masters:	Doctorate:

Salvation Testimony

Education and Ministry Goals, Additional Comments

Applications will not be considered without the nonrefundable US$75.00 application fee. You may pay online or mail in a check or money order. After we receive your payment, you have 30 days to supply the required supporting documentation for evaluation.
After 30 days, you will need to re-apply with an additional US$ 50.00 re-application fee.

Non-Discrimination Policy Cornerstone University (CU) does not discriminate on the basis of nationality, ethnic origin, age, or gender. We guarantee the rights and privileges, and the availability of programs and activities to all students of the College.

Privacy Rights of Students STATUTE 20, UNITED STATES CODE, 1232g and regulations adopted pursuant thereto. The code provides for an institution to establish a category of student information termed �directory information�. All information , such as health and medical records, disciplinary records, records of personal counseling, required student and family financial income information records, transcripts or student permanent academic records, student placement records and other personally identifiable information shall be open for inspection only to the student and such members of the professional staff of the college as have responsibility for working with the student. Such information will not be released to second parties without consent of the student. Except as required for use by the president in the discharge of his official responsibilities as prescribed by laws, regulations of the state board, and board policies, the designated custodian of such records may release information from these records to others only upon authorization in writing from the student or upon a subpoena by a court of competent jurisdiction.

PLEASE READ CAREFULY THE FOLLOWING AFFIDAVIT OF AGREEMENT BEFORE FORWARDING

I certify that I have truthfully and accurately answered all questions contained in this application. I understand that falsification of any kind is grounds for refusal of my application or expulsion should falsehood be discovered after acceptance of the College.

I indicate by my signature that I have been notified of my rights as recorded by STATUTE 20, UNITED STATES CODE 1232g.

I certify by my signature (forwarding this application) that I agree to abide by the policies of this institution as described in the CU Student Handbook.

I acknowledge the CU is not a job placement service. Degrees earned through CU are for Christian Service in the work of the Lord and no claims are made regarding employment.