What event/location did we meet at today? *
First Name *
Last Name *
Mobile Phone # *
What are your Academic Plans? *
Educator Licensing Program
Undecided or not seeking to complete a degree
Which Program Most Interests You? *
Biblical Studies, A.A.
Business Administration, A.S.
Communication Studies, A.A.
Computer Information Technology, A.S.
Criminal Justice, A.S.
General Studies, A.A.
Health Care Administration, A.S.
Human Resource Management, A.S.
Logistics and Supply Chain Management, A.S.
Marketing and Sales, A.S.
Biblical Studies, B.A.
Business Administration, B.S.
Business Administration, B.S. – Emphasis in Entrepreneurship
Communication Studies, B.A.
Computer Information Technology, B.S.
Criminal Justice, B.S.
Early Childhood Education, B.A. with Licensure
Early Childhood Education, B.A. without Licensure (Theory)
Elementary Education, B.A. with Licensure
Elementary Education, B.A. without Licensure (Theory)
Health Care Administration, B.S.
Human Resource Management, B.S.
Information Systems Management, B.S.
Logistics and Supply Chain Management, B.S.
Marketing and Sales, B.S.
Nursing, BSN (Pre-Licensure)
Nursing, RN to BSN
Organizational Management in Christian Leadership, B.S.
Organizational Management in Project Management, B.S.
Special Education, B.A. with Licensure
Special Education, B.A. without Licensure (Theory)
Biblical Studies, M.A.
Business Administration, MBA – Emphasis in Advanced Accounting
Business Administration, MBA – Emphasis in Health Care Administration
Business Administration, MBA – Emphasis in Leadership
Business Administration, MBA – Emphasis in Project Management
Criminal Justice, M.S.
Curriculum and Instruction, M.A.
Curriculum and Instruction, M.A. – Emphasis in Alternative Licensing
Curriculum and Instruction, M.A. – Emphasis in Biblical Studies
Educational Leadership, M.Ed. with Principal Licensure
Educational Leadership, M.Ed. without Licensure
Nursing, MSN – Emphasis in Clinical Care Management in Adult and Geriatric
Nursing, MSN – Emphasis in Nursing Education
Organizational Leadership, MOL
Public Administration, MPA
Special Education, M. Ed. with Licensure
Special Education, M. Ed. without Licensure
Special Education, M.Ed. – Emphasis in Alternative Licensing
Special Education, M.Ed. – Endorsement in Special Education Generalist
Theological Studies, M.A.
Alternative Licensing – Curriculum and Instruction, M.A.
Alternative Licensing – Special Education, M.Ed.
Early Childhood Education, Licensure
Elementary Education, Licensure
Special Education, Licensure
Biblical Studies, Certificate
Communication Studies, Certificate
Criminal Justice, Certificate
Health Care Administration, Certificate
Human Resource Management, Certificate
Logistics and Supply Chain Management, Certificate
Marketing and Sales, Certificate
Project Management, Certificate
Health Care Administration, Graduate Certificate
Instructional Technology, Graduate Certificate
Leadership, Graduate Certificate
Online Course Developer, Graduate Certificate
Online Teaching and Learning, Graduate Certificate
Project Management, Graduate Certificate
Do you live in the US? *
State/Province (US or Canada) *
District Of Columbia
Federated States of Micronesia
Military Post Office AA
Military Post Office AE
Military Post Office AP
Newfoundland and Labrador
Prince Edward Island
Zip Code *
*By submitting this form, I agree to be called by or on behalf of CCU using an automatic telephone dialing system at the phone number provided on this form. All calls placed will be regarding educational services. Consent is not required as a condition of enrollment. CCU may also contact me via text or email.