CITY NATION UNIVERSITY

Thanks for expressing your interest in the City Nation University. Please fill out the contact form below, so that we can keep you informed as to our course schedule and other related information regarding classes and their respective enrollments. Please note that submitting this form does not automatically register you, but alerts us of your interest so that our admissions staff can contact you and provide you with specific application and course enrollment information. Should you have any questions, feel free to email us directly at university@citynation.org.

Application For Admission

Personal Information

First Name

Last Name

Email

Phone Number

Date of birth

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Ecclesiastical Information

Ecclesiastical Title/Position

Ministry/Organization Name

Do you have or discern an ascension (five-fold ministry) anointing?

Yes

No

Ascension Title

Enrollment Status

Application Type

Signature

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CITY NATION UNIVERSITY

Application For Admission

Personal Information

Ecclesiastical Information

Enrollment Status

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