Name: *  

Address: *  

City: *  

State: *  

Zipcode: *  

Name of Course *  

Semester Hours *  

Processing Fee: (non-refundable)     + $25 

Initial Application Fee: (non-refundable)    + $25

Please mail payment to the address listed below, or e-mail kfleming@cbc.edu to make payment arrangements for your online course. Coursework cannot begin until payment is made to CBC. If you have questions, please call the Registrar's Office at (501) 205-8922.
 
      Registrar's Office
      Central Baptist College
      1501 College Avenue
      Conway AR,  72034
 
CHECK OR MONEY ORDER MUST ACCOMPANY ORDER. CREDIT CARDS (VISA, MC, DISCOVER) ACCEPTED BY PHONE.
 
Note:  To complete an order, an application must be sent in addition to this form. In addition, we require an official transcript from the most recent institution attended.
           
I understand that it is my responsibility to check with the institution I am now attending to determine whether this course meets my degree requirements.

     Central Baptist College
     Correspondence Department
     1501 College Avenue
     Conway, AR  72034
     1-501-205-8922