International Student Application
Please complete all sections. If you have questions, please email info@heartlandchristian.org
Please review the Community Handbook before proceeding.
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Email *
Student Legal First Name *
Student Last Name/Family Name *
American Nickname/Preferred Name
Gender *
Current Grade Level *
Grade Applying For: *
Term Applying For: *
Are you applying to advance to the next grade level or intentionally repeat the current grade level? *
Desired Program Length *
Have you ever applied to HCA? *
Birth Date *
MM
/
DD
/
YYYY
Country of Birth *
Do you hold multiple citizenships? *
Current Home/Street Address *
Current City *
Current Country *
Current Region/State/Province
Postal Code *
Phone Number *
Student Email Address *
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