 Emerson Theological Institute
PO Box 2127 Oakhurst,
CA 93644, United States
Phone: 0011-1-559-642-4616 Fax: 0011-1-559-683-2748 email:
emerson@sti.net
Application for Student
Enrollment
Please print, complete and mail this
form
along with supporting
documentation and fees to the above address |
Sponsoring Center
(if known) |
NEW THOUGHT INSTITUTE OF AUSTRALIA
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| Date: |
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| Your Name: |
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| Mailing Address: |
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City, State,
Zip Code/Postal: |
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| Country: |
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| Day Phone: |
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| Evening Phone: |
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| Email Address: |
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Enrollment
Program:
(circle one) |
I request enrollment in the following program (click to review
requirements):
___
Practitioner Credential
___ Bachelor
of Religious Studies
___ Interfaith
Minister Credential
___ Religious
Science Minister Credential
___ Master
of Religious Studies
___ Doctor of
Religious Studies
___ Doctor
of Spiritual Studies
___ Doctor
of Divinity
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| High School Attended : |
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High School
Location:
(city, state) |
Graduated? Yes
No |
| College Attended: |
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| College Location: |
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| College Major:
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Major: _______________________________
Graduated? Yes No
Degree:______________________________
Please check those that apply below:
___ I wish to transfer college credits (See
Enrollment for details)
___ I include transcripts, certificates of completion, copies of
diplomas/degrees and other documentation with this application. (See
Enrollment for details)
___ I will send transcripts, certificates of completion, copies of
diplomas/ degrees and other documentation later. (See
Enrollment for details)
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Registration Fees: |
$US 100 for each degree program or credential
program
$US 50 - first time enrollment fee
___ Check enclosed for $US ______ (made payable to Emerson
Institute)
___ Credit card payment of $US _______
_____Visa _____
MasterCard _____American Express
Card Number: _____________________ Expiration Date:
_____________
Enrollee's Signature: __________________________________________
Date: ________________________
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| In the right hand column,
please write a statement about credit you desire for previous study. Also
list any supporting documentation you are sending via snail mail.
If you
need more room, please use the reverse side of the form. |
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