2016 UNDERGRADUATE APPLICATION Instructions: Please print or type ALL information on this form. You may refrain from answering any questions which you feel would betray your confidentiality, but the more we know about you the better we can serve you. Kindly include a digital Status: New Applicant Reactivating student Have you previously enrolled as a BSB student? Yes No Have you ever studied through another Global University National Office? (If yes to the above) Former Student No: Office Use Only Student No. Office Code: passport size photo with your application Yes No Fee Pd. Maltese Stds ID/Pass No ____________________ Former Enrollment Office: Social Security No. (USA Citizen): _____________________________ Last/Family Name: ________________________________________ Home Address: __________________________________ First/Given Name: _________________________________________ _______________________________________________ Middle Name: ____________________________________________ _______________________________________________ Maiden Name: ____________________________________________ Country: _______________________________________ Primary Phone: ___________________________________________ Other Phone: ______________________________________________ Title: Mr. Ms. Mrs. Marital Status: Single Gender: Male Rev. Married E-mail: ________________________________________ Date of Birth: Day Month Year (Example: 05 / JAN / 87) Dr. Widowed Divorced ____ / ______ / _____ DD Month YY Female Country of Citizenship: _____________________________________ Primary Religious Affiliation: Primary language spoken: ___________________________________ Assemblies of God Protestant I will be using USA VA military benefits. Yes No Other Pentecostal Roman Catholic Other (specify): ___________________________ Click the link if you wish to know how to participate in the EuroPass Supplement www.git.edu.mt/applications/EuropassApplication.htm ACADEMIC INFORMATION Highest Education completed (i.e. Secondary/High School or Post-Secondary) ___________________________________________ List any post-secondary institutions you have attended (i.e. trade school, Bible College, or university): Institution Dates Attended Major Certificate/Diploma/Degree ___________________________ _________________ _______________ Sending Official* Transcript _____________________ Yes No ___________________________ _________________ _______________ _____________________ Yes No ___________________________ _________________ _______________ _____________________ Yes No ___________________________ _________________ _______________ _____________________ Yes No *Official indicates a transcript that is sent by the school or institution directly to Global University. Required Documentation: A copy of your high school diploma or equivalent proof of graduation must be submitted. MINISTRY AFFILIATION I have ministerial credentials with: the Assemblies of God (may qualify for 20% tuition discount). another organization (please specify): _________________________________ Country: ______________________________________ District: _____________________________________________ Level of credential: _____________________________ Date obtained: ________________________________________ 1211 South Glenstone Avenue | Springfield, MO 65804 USA | Phone: 417.862.9533 | Fax: 417.863.9621 www.globaluniversity.edu | E-mail: [email protected] PROGRAMS OF STUDY Mark the program of study for which you are applying. (Choose only one) Not enrolling in a Program (completing Global University courses to transfer to another school) Undeclared/Enrichment (not pursuing a certificate, diploma, or degree; enrolling in courses for enrichment purposes) Undeclared/Undecided (will choose a program of study before completing 18 credits) Certificates The Bible Interpreter The Christian Communicator The Christian Mission The General Studies The Certificate in Bible & Theology Associate of Arts Degrees A.A. in Bible/ Theology A.A. in Church Ministries A.A. in Christian Education Diplomas Diploma in Ministry Diploma in Bible and Theology Credits 17 17 17 17 32 Credits 66 66 66 Credits 64 96 Bachelor of Arts Degrees B.A. in Bible and Theology with minor* without minor B.A. in Intercultural Studies with minor* without minor B.A. in Christian Education with minor* without minor * 15-credit Pastoral Counseling minor (counts as part of degree program elective credits) Credits 128 128 128 *Second Bachelor of Arts Degrees Second B.A. in Bible and Theology Second B.A. in Intercultural Studies Second B.A. in Christian Education Credits 50 50 50 *You must request an official transcript from the university that awarded your first bachelor’s degree Specialized degree for non-USA students ______________________________________________________________ (Program name) How did you hear about Global University? I agree to the regulations governing the study program set forth by the Global University catalog in effect during the year in which I am applying and I understand that my completion of this study program does not guarantee my acceptance for any position by any church or organization. I agree that it is my responsibility to verify the applicability of Global University’s credits toward any educational goal that I may have. I understand e-mail is considered a primary method for communication and is intended to meet the academic and administrative needs of the University. I agree to monitor my Global University student e-mail account on a regular basis. I understand I am responsible for all shipping/duty fees for materials shipped if I reside outside the USA. My application fee is included with this form (refer to fee schedule). The application fee is non-refundable five business days after this form is received by Global University. Date: _____/ _____ / _____ DD Month YY Applicant’s Signature: _______________________________________________________ Print Full Name: ______________________________________________________ Parental/Guardian Signature (for applicants under 18 years): ______________________________________________________ FOR REGIONAL/NATIONAL OFFICE USE ONLY Date: _____ / _____ / _____ DD Month YY UG Intl Application-EN 20151102 I recommend this student for the program he or she has indicated. National Office Code: _____________________ Director’s Signature: _________________________________________ FOR INTERNATIONAL OFFICE USE ONLY Date: _____ / _____ / _____ DD Month YY I recommend this student for the program he or she has indicated. Global University Registrar’s Signature: _________________________________________ 1211 South Glenstone Avenue | Springfield, MO 65804 USA | Phone: 417.862.9533 | Fax: 417.863.9621 www.globaluniversity.edu | E-mail: [email protected]
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