Online Application for Admission

Apply Online - Step 3
*Parent's/Guardian's Marital Status:
*Full Name of Father or Male Legal Guardian:
*Father's Address:
*Father's City, State, Zip Code:
*Father's Phone Number:
*Father's Email Address:
*Father's Employer and Occupation:
*Full Name of Mother or Female Legal Guardian:
*Mother's Address:
*Mother's City, State, Zip Code:
*Mother's Phone Number:
*Mother's Email Address:
*Mother's Employer and Occupation:
*Please list the names of any relatives who have attended Crossroads College:
*Name of the Church You Currently Attend:
*Church Address:
*Church's City, State, Zip:
*Church Phone Number:
*Church Denomination:
*Name of Pastor:
*Name of Youth Pastor:
*Please enter your first, middle and last name here to verify that all information contained in this application is accurate to the best of your knowledge:
*Today's Date:
The remaining application forms can be downloaded from our website. If you would prefer to have the remaining forms mailed to you, please check this box:
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Crossroads College
920 Mayowood Road SW
Rochester, MN 55902, USA
Phone
(507) 288-4563 or (800) 456-7651

Copyright 2014 Crossroads College