Application for Admission
Continuing Education
Students age 23 and older
If you need help or have any questions, please call us at:
1-800-3303 ext. 5200 or 712-279-5200
General Information
Check the term you want to begin
Status (Check all the items that will pertain to you)
Personal Information
First Name Middle Name Last Name
Home Address
City State Zip
Home Phone Cell PHone
Social Security Number
Date of Birth (mm/dd/yyyy)
City of Birth State of Birth Country of Birth
If you are a permanent resident alien (PRA, list your PRA Number.
Marital Status Maiden or Former Name
E-mail Address
Ethnicity & Race
Select one or more of the following racial categories:
Religious Affiliation (Optional)
Military Experience
Employer Office Phone
Can you conveniently receive calls at work?
Have you ever been on disciplinary probation by a college or university?
Have you ever been suspended or dismissed from a college or university for disciplinary reasons?
College and Other Schools (including military training)
School City State Years Attended
High School
City State Zip Code
Phone Number Graduation Year
High School Guidance Counselor
What motivated you to contact BCU?
What most influenced you to apply at Briar Cliff?
Do you plan to apply to other colleges (please list in order of preference below)?
Career Interest
Major field of academic interest
Career Plans
Please list church, community, and athletic activities
Which activities and/or sports do you wish to participate in at Briar Cliff?
Financial Assistance / Scholarships
Do you plan to seek financial assistance?
Do you plan to audition for theatre scholarships?
Do you plan to audition for music scholarships?
Do you plan to submit an art portfolio?
Do you plan to try out for an athletic scholarship?
Does your employer offer tuition benefits?
If yes, in what amount?
What are the conditions for receiving the benefits?
Family Information
Relatives who attended or currently attend Briar Cliff University
Last Name First Name Relationship Year Attended
To be considered for acceptance, you must submit the following.
  • Completed Application for Admission
  • All official high school and college transcripts
  • If you received a GED, please provide an official copy of the results
  • A non-refundable fee of $20
  • Please submit all of the above to:

    Briar Cliff University
    Office of Admissions
    3303 Rebecca Street
    Sioux City, IA 51104
Copyright 2010 by Briar Cliff University