MACU Felony Disclosure Form

Mid-America Christian University believes a safe environment is necessary for optimal learning, and it is the goal of the university to ensure all those admitted to the institution are committed to maintaining such an environment for themselves and the MACU community. As part of this commitment, the university requires applicants to disclose any current or pending felony charges against you. Please complete this form to be reviewed by the Felony Review Committee for consideration for admittance to Mid-America Christian University. Thank you.

First Name

Last Name

Email:

Please put in the email that you check on a regular basis, as this will be the email in which the decision is emailed to.

Phone Number

Where will you be attending classes?

OnlineOn campus

Which MACU College are you applying to?

College of Arts and Sciences (traditional on-ground M-F mornings)College of Adult and Graduate Studies (one night a week or online)

What is the status of your charges?

Pending chargesFormally charged

What is the date that you were formally charged?

What is the expected court date for sentencing?

What was the nature of your sentencing?

Please write a formal letter.

The following is information that the Committee would like to review in your written statement. This statement should be formally written and typed. If you do not remember specific details, please ensure that you have ordered the documentation needed. Be as thorough and accurate as possible.

Please include the following items in your written statement:

Details of incident: Please provide details, including a complete description of the facts and circumstances that led to the charges. You should include: 1. Who participated 2. Who the victim was 3. What losses were suffered 4. When, where, and how the event(s) occurred
Explanation of criminal history: please explain the reason(s) for your behavior.
What positive changes have you made in your life since the event(s)?
What are your educational goals?

Please write your appeal letter requesting admittance to MACU for consideration by the Felony Review Committee. Please refer to the items above and answer in detail.

Please upload any additional supporting documentation to be considered here. Make sure to reference and explain any supporting documentation in your rationales for appeal statement above.

Please be advised that current or pending felony charges may prevent a student from entering a degree program or from obtaining work in that field upon graduation. Please speak with your Enrollment Counselor if you have any questions.

By entering my name in the space below, I am placing my electronic signature on this form and granting permission for the Felony Review Committee to review my appeal for provisional or conditional acceptance into Mid-America Christian University. I understand that by signing this written statement, I am granting permission to MACU for complete access to criminal records.

Need assistance with this form?