University of Holistic Spirituality
 Application for Admission
 

In order to be considered for admittance to University of Holistic Spirituality you must completely fill out this form. All information must be typed or legibly printed in black ink. There is a $50 (USA Dollars) non-refundable application fee.
* Required Field

  Personal Information:
*Name
*Address
*City *State *Zip Code
*Daytime Phone     *Evening Phone
FAX *E-mail
Marital Status   Single   Married Divorced Widowed Life-Partner *Date of Birth
Spouse's Name
   Education:
High School
Technical School
College
Seminary
Graduate School
*Desired Program
  Current Employment:
Employer
Job Title   Dates of Employment
  * Please list licenses, certifications, military experience and any additional training you may have. 
 
  * What are your personal strengths?
 
  * What areas of improvement do you see for yourself?
 
  I certify that the above information provided by me is true and correct.  I understand that if I misrepresent information or provide untruthful information, it can result in my acceptance to Universal University being null and void.
*Signature *Date
   
  * How did you find out about our University? 
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