Culver-Stockton College Applications
This application is used if you are entering college as a first time undergraduate student even if you may have college credit through Dual Credit/AP credit courses in high school.
Will you have your associate's degree completed before enrolling at C-SC?
Please confirm - you are applying for admission as a first-time freshman:
Please confirm - you are applying for admission as a first-time international freshman:
Have you taken or are you currently taking Dual Credit or AP Courses during High School?
Transfer - This application is used if you are transferring to Culver-Stockton College after enrolling full-time at another college or university not counting dual-credit courses.
Please confirm - you are applying for admission as a transfer student:
Please confirm - you are applying for admission as an international transfer student:
Re-Admission - This application is used if you previously attended Culver-Stockton College as an undergraduate student.
Please confirm - you are applying for admission as a re-admit student:
Please confirm - you are applying for admission as an international re-admit student:
Required information is marked with a * (red asterisk) and must be completed before the form will submit. If any required information is not applicable to you, enter N/A.
Maiden Name (if applicable)
What is your citizenship status?
If not US citizen, citizen of
If you are here on a visa, please select type of visa?
Please list your TOEFL score
If your primary language is not English, please list it here
Please note, we respect your privacy in requesting the Biographical Information below. The information collected will have restricted access but is required by the Registrar's Office and Financial Aid office for reporting and financial aid purposes.
YOUR ETHNICITY (Optional)
Race (Choose one or more)
ADDITIONAL INFORMATION (Optional)
Select YOUR Marital Status
If Christian, are you a member of the Disciples of Christ denomination?
Click the link below to download the Disciples Award Information. This form should be completed and returned to be eligible for the Disciples of Christ financial award.
2019-2020 Disciples of Christ Award
Do you currently reside in the United States?
All address information is required. If any information is pre-populated, please make changes as needed.
Enter any additional address information such as Province, Region, Postal Code, etc. required for international addresses in the Additional Address field. Separate additional information with commas.
Address Line 1
Address Line 2
International Phone Number
Confirm Email Address
(PLEASE NOTE: Options in drop down are for academic year which runs from August through May)
Full (12 credit hrs per semester) or Part-Time?
International Students: A valid major is required for the I-20 paperwork. UND (Undecided) is not acceptable. Please select your intended major or one you are considering.
Please indicate the major or area of academic interest you are considering
Select Health Science Specialization
Master of Athletic Training Admission Routes - please read carefully and then select your option from the dropdown (only if you are pursuing MAT).
Direct Admission Accelerated (3 + 2) five year BS + MAT Degree -- ** Must have high school 3.5 GPA, 25 ACT and 50 hours AT observation prior to enrollment in BS.
Accelerated Admission (3 + 2) five year BS + MAT degree
Traditional (4 + 2) after completion of BS degree
Please select your intended route (please read descriptions above):
Select a Pre-Professional path if applicable
Select a Pre-professional path if applicable
Will you be a resident or commuter student?
FINANCIAL AID INFORMATION
Are you or a parent currently in the military or retired from military service?
Is your parent(s) or spouse an employee of Culver-Stockton College?
Name of employee
Is your parent(s)/spouse an employee of any college, other than Culver-Stockton College, participating in tuition benefits? (see link to participating institutions above)
Name of participating college:
Do you have a parent, grandparent or sibling that attended Culver-Stockton College?
Please share the name and relationship of your relatives, using the name they used while attending C-SC.
What most encouraged you to apply to C-SC?
Have you ever been adjudicated guilty or convicted of a misdemeanor or felony? Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential.
If yes to the question above, please explain.
Your counselor will be in touch for further information.
PRIMARY PARENT/GUARDIAN INFORMATION
What is relationship to primary parent?
Is the Primary Parent Home Address the same as your Legal Home Address?
Address Line 2:
Would you like to add another Parent/Guardian?
SECONDARY PARENT INFORMATION
What is relationship to secondary parent?
Is the Secondary Parent Home Address the same as your Legal Home Address?
HIGH SCHOOL INFORMATION
Type of High School
State of Institution
Select mailing address city of institution
Name of Institution
High School Graduation Year
High School GPA
On a scale of
Name of High School Guidance Counselor
High School Telephone
Home School/GED Completion Date
Are you a participant in the Missouri A+ Program?
Culver-Stockton College is my
List other college/universities you are applying to. Click the Add Other College button to add another institution.
Culver-Stockton is a test-optional school for 2020-21. Do you plan to submit an ACT/SAT score?
Select the test code and enter your score. Click Add Test Score. You can submit both a SAT and ACT score.
Have you taken the ACT or SAT?
Highest Cumulative Score on ACT/SAT?
Enter all institutions you have previously attended (including Dual Credit institutions). Please note, an official college transcript will be required from each institution listed during the application process.
Institution Start Date
Institution End Date
Please complete the following question, if it does not apply to you, select No:
Are you a member of Phi Theta Kappa?
Please select your intended athletic participation at Culver-Stockton College. Additional questions may apply.
Please select your athletic primary interest:
Year(s) of Varsity/Club/Traveling Team experience:
Please select additional athletic interest:
Do you intend to apply for a Fine Arts scholarship?
Please indicate Fine Arts primary area of interest:
Please indicate an additional Fine Arts area of interest:
Please indicate an additional Fine Arts area of interest:
What instrument(s) do you play?
Activities/leadership positions held
Specify Grade/College (check all that apply)
List the languages you speak including English.
Which language do you speak most fluently?
Have you taken the TOEFL?
If so, list your score:
Gender at birth
Did you attend Explore Nursing or Explore Health Sciences?
If not a US citizen, specify country of citizenship
Country of birth
If not born in the US, at what age did you move to the US (if applicable)?
How did you learn about Blessing-Rieman College of Nursing & Health Sciences (Check all that apply)
We can't wait to receive your application!
I certify that the information on this application is complete and correct, and I understand that the submission of false information is grounds for denial of my application, withdrawal of any offer of acceptance, cancellation of enrollment or any appropriate disciplinary action. I authorize the College to verify the information I have provided with all the schools I have attended. I agree to notify the proper officials of the institution of any changes in the information provided. I give my high school(s) permission to send my official transcript(s) directly to Culver-Stockton College
I agree to give Culver-Stockton College the right to publish or announce information about scholarships or grants that I receive.
Please review and answer the following statements regarding collection of data by Culver-Stockton College.
Culver-Stockton College may communicate with me by mail, email, phone, or text message prior to or after submission of my application or inquiry. You may withdraw consent by sending a notice to email@example.com.
Review your application and make sure all required questions are completed
Please check your application for all required information. Required questions are preceded by a red *. Your application will not submit if required questions are not completed.
Once you submit your application, along with your transcripts and test scores, we'll send you a quick admission decision!