Alaska Christian College Application

Personal Information
First & Middle Names Required	Last Name Required	Social Security Number
Email Address Required Type "None" if applicable	Primary Phone Required	Secondary Phone
Current Mailing Address Required	City, State & ZIP Required	Address good until:
Permanent Mailing Address	City, State & ZIP
Date of Birth Required	Place of Birth, City & State
Marital Status Required Any Children?	Ethnicity	Alaska Native Language If applicable
Health Status Required	Emergency Contact, Relationship	Emergency Phone Number
Term Applying for Required
Step 1 of 4 ~ Next Step: Family Information
ACC is an educational ministry of the Evangelical Covenant Church. Alaska Christian College is authorized as a postsecondary educational institution by the Alaska Commission on Postsecondary Education. Alaska Christian College provides equal educational opportunities for all, regardless of religion, race, color, national origin, sex, age, physical handicap or veteran status.