Campus Application

Once you submit this form, a page will appear with a link to LCU's Campus Personnel Application. Filling out this second form is required to be approved as an LCU Campus.

Host Pastor Information

Title *

First Name *

Middle Initial

Last Name *

Generation

Home Phone *

Mobile Phone *

Personal Email *

Confirm Personal Email *

Church Information

Church Name *

Church Phone *

Church FAX

Church Website Address (URL) *

Church Email Address *

Confirm Church Email Address *

Campus Director Information

Will someone other than yourself be administering your campus?

No

Yes

Title

First Name

Middle Initial

Last Name

Generation

Director's Home Phone

Director's Cell Phone

Director's Email Address *

Confirm Director's Email Address *

Church Mailing Address (the address where your national postal service delivers your mail)

Line 1 *

Line 2

City *

Country *

State/Province

State *

Zip/Postal Code *

Does FedEx, UPS, or DHL deliver packages to your mailing address?

Yes

No

Shipping Address (The address where FedEx, UPS, DHL, etc. deliver your packages)

Line 1 *

Line 2

City *

State *

State/Province *

Zip/Postal Code *

Does your church hold services at either your mailing or shipping address?

Mailing

Shipping

Neither

Physical Address (The address where your church auditorium/sanctuary is located)

Line 1 *

Line 2

City *

State *

State/Province *

ZIp/Postal Code *

Legal Documents

Please attach a scan of your 501(c)(3) -OR- your Articles of Incorporation -OR- your Denominational Affiliation Papers *

Maximum file size: 2MB

Accepted file formats: .gif, .jpg, .png, .pdf

Teaching Method(s)

NOTE: If live instruction will be provided at your campus, each potential faculty member, including yourself, must fill out a Campus Personnel Application and be approved by LCU before they are allowed to teach.

We want to teach using: *

Live Faculty

DVD and/or Online Videos

A combination of both

Ministerial References

LCU will email each of your references a link to our online Ministerial Recommendation form.
Please ensure the email addresses you enter are correctly spelled and are currently active.
Be sure to notify them you have submitted their names as a reference to expedite approval of your application.

Reference #1

First Name *

Last Name *

Job Title *

Phone *

Email *

Reference #2

First Name *

Last Name *

Job Title *

Phone *

Email *

Payment

Method *

Credit/Debit Card

eCheck

Amount to be Charged (USD)

Credit/Debit Card

First Name *

Last Name *

Phone Number *

Email

Card Billing Address

CreditDebit Card

expiration year

the 3- or 4-digit number on your card

expiration month

eCheck

Bank Name *

Bank Routing Number *

Bank Account Number *

Affidavit & Signature

Declaration #1 *

I have read and concur with the Life Christian University Statement of Faith.

Declaration #2 *

I agree to abide by the procedural guidelines of the university.

Declaration #3 *

I understand there is a $300 campus application fee which I will be charged immediately upon submitting this form.

Declaration #4 *

I agree to each of my references being contacted by LCU. They will complete a Minister's Recommendation form and submit it directly to LCU.

Declaration #5

I certify that I have truthfully and accurately answered all questions contained in this application.

Declaration #6

I understand falsification of any kind is grounds for refusal of my application or termination of my relationship with LCU should falsehood be discovered after acceptance by the University. I also understand that under either circumstance, I will forfeit my application fee in its entirety.

Signature *

Clear

Date

Credit Card

eCheck