Visiting Student Application

Biographic Information

First Name *

Middle Name

Last Name *

Previously Used Last Name(s)

Date of Birth *

Gender *

Female

Male

Social Security Number

Email Address *

Cell Phone *

Home Phone

Current Mailing Address *

Country

Street

City

Region

Postal Code

Permanent Mailing Address (if different from above)

Country

Street

City

Region

Postal Code

Citizenship Status *

U.S. Citizen

Permanent Resident Alien

International

Visa Type

Student Information

Desired Entry Term *

Fastterm Entry Term (optional: for Fastterm semester)

Have you attended HCU previously? *

No

Yes

Do you plan to complete a degree at HCU? *

No

Yes

Academic History

Please list the current college or school in which you are enrolled. Official Transcripts from the college or school must be mailed directly from said institution to:

Houston Christian University
Office of Academic Records
7502 Fondren Rd.
Houston, TX 77074

Number of Colleges Attended *

College Name *

Dates Attended *

College Name (College #2)

Dates Attended (College #2)

College Name (College #3)

Dates Attended (College #3)

College Name (College #4)

Dates Attended (College #4)

Probation or Suspension *
Are you on probation or suspension at any institution of higher education (including HCU)?

No

Yes

Courses Requested

Please select the courses you wish to take from the Academic Class Schedule for the appropriate term at the link below.
Example: Chemistry 2415 | 01 | 2376

Number of Courses *

Course Subject *

Course Number *

Course Section Number *

Course #2 Subject

Course #2 Number

Course #2 Section Number

Course #3 Subject

Course #3 Number

Course #3 Section Number

Course #4 Subject

Course #4 Number

Course #4 Section Number

Course #5 Subject

Course #5 Number

Course #5 Section Number

Ethnicity

Please answer part 1 and part 2. This information is used only for statistical purposes and to provide information required by the U.S. Department of Education under the provisions of the Title VI of the Civil Right Act. You are not required to answer; however, an answer would be greatly appreciated. Houston Christian University provides educational opportunities without regard to disability, age, race, sex, and national or ethnic origin.

Hispanic and/or Latino

Yes

No

Ethnicity: Please check all that apply

Certification

I certify that the information given in this application is complete and correct. I also promise to abide by all the rules and regulations of the University. I acknowledge that failure to give complete and correct information can result in loss of credit or dismissal.
I understand that it is my responsibility to ensure that classes taken at HCU will transfer to my current school. I also understand that I must meet the prerequisites for any HCU class I wish to take. I hereby waive my right of access to any confidential recommendations submitted on my behalf to my admission file.

Certification *

I certify

Signature *
Please Type Your Full Name