California Baptist University

Thank You! Your form has been submitted.

First Name: *

Middle Initial:

Last Name: *

Student I.D. #: *

E-mail Address *

Phone Number (please use 555-555-5555 format): *

Intended Housing: *

On Campus

Off Campus

If you are living off campus, please choose one:

I am over 21 years old

I am living with my parents

I am over 21 years old and living with my parents

Meal Plan Selection (On Campus Residents MUST choose Plan D, E, F, G or H): *

None

Plan A (50 meals per semester only usable Mon-Fri) - $495

Plan B (75 meals per semester) - $740

Plan C (100 meals per semester) - $985

Plan D (150 meals per semester) - $1475

Plan E (175 meals per semester) - $1680

Plan F (200 meals per semester) - $1870

Plan G (225 meals per semester) - $2050

Plan H (250 meals per semester) - $2215

Every CBU student must have current Health Insurance and is required to either provide proof of insurance or will be charged for Health Insurace coverage by the University. Please select one option below. *

I currently have Health Insurance and will complete the online waiver prior to September 17, 2013.

I do not currently have Health Insurance.

Student Data

Online Student Data Sheet