Canon University

Orlando, FL. 32858
P.O. BOX 580306
(407)574-2445 OFFICE

APPLICATION FOR ADMISSION

* Date Of Application : 
* Social Security Number : 

* Home Phone Number : 

* Work Phone Number : 
* Gender : 
 Male.     Female  
* Name : 
     
* Home Address : 
* City : 
* State : 
* Zip : 
* Have You Served With The U.S Armed    Forces? : 
 Yes.     No  
* Type Of Employment : 
* Name Of The Church You Attend : 
* Pastor's Name : 
* Phone Number : 
* Date, Month, Or Year Of Your Salvation : 



* Have You Been Water Baptized : 
 Yes.     No  
* Date/Month/Year : 

       (DD/MM/YY Format)

* Years In Ministries : 
   

 

 

 

Educational Qualification

 

 
   
1. Name Of School, City & State

(1-st High School)


Years Attended


Degree Earned

(Diploma, Ged, Aa, Ba, Ma,Or Phd Or Th.D.)




Area Of Study

 
2.  Name Of School, City & State

(1-st High School)


Years Attended


Degree Earned

(Diploma, Ged, Aa, Ba, Ma,Or Phd Or Th.D.)




Area Of Study

3.  Name Of School, City & State

(1-st High School)


Years Attended


Degree Earned

(Diploma, Ged, Aa, Ba, Ma,Or Phd Or Th.D.)




Area Of Study