Advantage University – Apply

If attending an Extension School of Ministry, indicate name of school:
PERSONAL INFORMATION
Name*
First MI Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Gender:
- Male
- Female
Date of Birth*
MM
DD
YYYY
Marital Status
- Single
- Married
- Divorced
- Widowed
Name of Spouse:
Do you have children?
- YES
- NO
How many?
Ages:

ACADEMIC BACKGROUND
HIGH SCHOOL Attended: (Name, City, State/Region)*
High School Graduate? (Y, N)*
Month-Year Graduated:
If not High School Graduate, have you taken the GED test? (Y, N) Date:
COLLEGE - Please list all schools attended
City, State/Region
Degree? (Y, N)
Degree Conferred:
Type of degree
Years Attended
OTHER EDUCATION
Name and Location (City, State/Region)
Trade School, Specialized Learning Institute, etc...
Certificate or Degree Conferred?
Degree Conferred?
# of units or credits?
The degree program you are applying for:
Check one please.*
- Associates Degree
- Bachelors Degree
- Masters Degree

RELIGIOUS PREFERENCE
Current Church Attending:
Name, City, State/Region
Denomination or Affiliation:
Member (Y, N)
How Long?
Give a brief spiritual history andy reason you desire to attend Advantage College:*
Provide a Reference: Please provide a letter from your pastor or another church leader - email to:
Date*
MM
DD
YYYY

PERSONAL INFORMATION