Church on the Rock | New Haven, CT

First Name:

Last Name:

Home Address:

City/State/Zip:

Age:

Gender:

Male

Female

Date of Birth

Phone Number:

Can we text you?

Yes

No

Email:

I Certify that the above information is correct.

How did you hear about COTR Global Christian Academy?

Online

Friend

Social Media

Church Service

Are you a military veteran?

Yes

No

Name of Church you currently attend

I am applying for

Spring Semester: Jan-May

Fall Semester: Sept-Dec (Spring semester must be completed first)

List the High School you attended

Year of Graduation

List the College(s) Attended

Degree

Year of Graduation

Do you have Christian Ministry Experience?

Yes

No

If yes, check all that apply:

Small Group Leader

Youth Ministry

Pastor

Other

Why are you interested in attending COTR Global Christian Academy?

By signing this application, I understand that:

I verify that I have answered the questions to the best of my knowledge. I will work diligently and in harmony with my Teachers and peers during my studies at COTR Global Christian Academy. I will remain active in my local church. I will do my best, let God do the rest, and be okay with the results.

Signature

Date

COTR Global Christian
Academy

Contact Us

95 Hamilton Street New Haven, CT. 06511

(203) 498-2687