Registration Closed

We're sorry, but registration for the Corban Experience is now closed.

If you would like to schedule a personalized visit please call 503-581-8600 or email admissions@corban.edu. Remember, if you attend Corban after visiting, you may qualify for a $500 Visit Scholarship to help pay for your visit expenses. Ask the Admissions office for details. We hope to hear from you soon so we may show you what life at Corban is all about!

 

Corban Experience Registration

I am registering for:

Please provide the following information:
(All fields required)

First Name

Last Name

Street Address

Address (cont.)

City
     State
     Zip

Country

Phone
Home      Student Cell

E-mail

Gender
Male Female


Educational Information

High School

City
     State
     Zip

High School graduation year?       

Please indicate your intended field of Major study:

Business Administration
Computer Science
Education
English
Health Sciences
Human Performance
Information Systems Management
Interdisciplinary Studies
Mathematics
Ministry
Music
Psychology
Social Science
  Other:
 

Athletic Interest


What Church do you attend on a regular basis?

Church

City
     State
     Zip

Senior Pastor

Youth Pastor


Other Information:

I am coming by myself
I am coming with a group

I would like to room with:

a Corban student I know

Student's Name

a person I'm coming with

Person's Name

I have no preference

Payment required upon online registration:
$35.00 (payment information to follow)


The Corban Experience is geared towards students however, we do have a Monday schedule for visiting parents.

Do your parents wish to attend?
Yes No

Parent name(s):

Lunch passes needed:


Waiver of Liability

In consideration of my participation in the activities of Corban Experience, on behalf of myself, the undersigned Participant and Parent or Guardian hereby release, waive, and discharge Corban University (including its officers, employees, volunteers, and agencies) from liability for injury, loss, or death to the minor, while participating in the activities of Corban Experience.

In case of EMERGENCY CARE – I authorize or agree:

  • Corban University to administer emergency first aid, CPR, and use an AED when deemed necessary by Corban University.
  • Corban University to secure emergency medical care or transportation (i.e., EMS) when deemed necessary by Corban University.
  • Corban University to share my medical history with emergency medical personnel when deemed necessary by Corban University.
  • To assume all cost of emergency medical care and transportation.
Emergency Contact 1
 
Emergency Contact 2
Name
Relation
Phone Number
 
Name
Relation
Phone Number

By clicking here, you declare that you have read and authorize the terms and conditions outlined in the waiver of liability and emergency care.

                 

Note: All registration confirmations will be sent to the registering email address.