Fillable 2021 Undergraduate Application (USA) (Global University)

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2021 Undergraduate Application (USA) (Global University)

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  • 11 check-boxes
  • 143 other fields

Country of origin: US
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SBT_Application (USA) 1 Revised 13/01/2020
UNDERGRADUATE SCHOOL OF BIBLE AND THEOLOGY
1211 S. Glenstone Avenue, Springeld, MO 65804 USA
Telephone: 1-800-443-1083 USA; 417-862-9533 Outside USA • Fax: 417-862-0863 • Email: studentinfo@globaluniversity.edu
2021 Undergraduate Application (USA)
Please clearly print or type information on this form, then sign and date it.
Student Information
Status: New applicant Reactivating student
I have previously enrolled as a BSB student.
I have previously studied with another Global University
network ofce.
Former student number: ____________________________
Former GU network ofce: ___________________________
Student Name: ________________________________________
Last / Family
____________________________________________________
First / Given Middle Maiden
Address: ____________________________________________
____________________________________________________
City State/Province
____________________________________________________
Postal Code Country
Primary Phone: _______________________________________
Other Phone: _________________________________________
Email: _______________________________________________
Date of Birth: ________/ _________ / ________ Male
DD MM YYYY Female
Title: Mr. Mrs. Ms. Rev. Dr.
Marital Status: Single Married Widowed Divorced
Country of Citizenship: _________________________________
Primary Language: ____________________________________
I will study my courses in: English Spanish French
I will be using USA VA military benets
Primary Religious Afliation
Assemblies of God Other Pentecostal
Protestant Roman Catholic
Other (specify): ___________________________________
Academic Information
Highest Education Completed (e.g., secondary / high school, post-secondary): _____________________________________________
List any post-secondary institutions you have attended (e.g., trade school, Bible college, university):
Institution Dates Attended Major Certicate / Diploma / Degree Sending Ofcial*
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 Do
cumentation: A copy of your high school transcript or equivalent proof of graduation must be
submitted.
Ministry Afliation
I have ministerial credentials with:
The Assemblies of God
(may qualify for 20 percent tuition discount)
Other (please specify): _____________________________
Country: _____________________________________________
District: ______________________________________________
Level of credential: ____________________________________
Date Obtained: ________/ ________ / ________
DD MM YYYY
SBT_Application (USA) 2 Revised 13/01/2020
Programs of Study
Mark the program of study for which you are applying. (Choose only one)
Not enrolling in a program (completing GU courses to transfer to another school)
Undeclared / Enrichment (not pursuing a certicate, diploma, or degree; enrolling in courses for enrichment purposes)
Undeclared / Undecided (will choose a program of study before completing 18 credits)
Undeclared—Concurrent / Dual-Enrolled High School Student (complete U-18 student application form)
Certicates Credits
Bible Interpreter Certicate 15
Christian Communicator Certicate 15
Christian Mission Certicate 15
General Studies Certificate 15
Certificate in Pastoral Counseling 18
Certificate in Bible and Theology 30
Associate of Arts Degrees Credits
Associate of Arts in Bible and Theology 60
Associate of Arts in Christian Education 60
Associate of Arts in Church Ministries 60
Diplomas Credits
Diploma in Ministry 60
Diploma in Bible and Theology 90
Specialized Degree for Non-USA Students
_________________________________________________________
Program Name
Bachelor of Arts Degrees Credits
Bachelor of Arts in Bible and Theology 120
With minor*
Without minor
Bachelor of Arts in Christian Education 120
With minor*
Without minor
Bachelor of Arts in Intercultural Studies 120
With minor*
Without minor
*The 15-credit Pastoral Counseling minor may count as part of
the program’s elective credits. Students who earned the Pastoral
Counseling Certicate are not eligible for the minor program.
Second Bachelor of Arts Degrees Credits
Second Bachelor of Arts in Bible and Theology** 55
Second Bachelor of Arts in Christian Education** 55
Second Bachelor of Arts in Intercultural Studies** 55
**In order to qualify for enrollment you must request an ofcial transcript
from the university that awarded your rst bachelor’s degree.
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.
I understand I must maintain a GPA of 2.00 in order to
be permitted to continue my undergraduate studies and
complete my study program.
I understand it is my responsibility to verify the applicability
of Global University’s credits toward my educational goals
and completion of this study program does not guarantee my
acceptance for any position by any church or organization.
I understand I am responsible for all shipping / duty fees for
materials shipped if I reside outside the USA.
I understand the application / reactivation fee (refer to fee
schedule) is non-refundable ve business days after this
form is received by Global University.
Date:
________ / _________ / _________
DD MM YYYY
Print Full Name: ______________________________________
____________________________________________________
Applicant’s Signature
____________________________________________________
Parental / Guardian Signature (for applicants under 18 years)
Payment Method ($50)
Check Enclosed Check Number: ________________________________________
Please bill my credit card: Visa MasterCard Discover
(if paying by credit card, please fax or mail form; do not email credit card information):
Credit Card Number: __________________________________________________________________________________________
Name as it appears on card: ________________________________________________ Expiration Date: _____________________
FOR OFFICE USE ONLY
Date:
________ / _________ / _________
DD MM YYYY
I recommend this student for the program he or she has indicated.
Global University Registrar’s Signature:
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SBT_Application (USA) 3 Revised 13/01/2020
Permission to Release Records
This form is required for all applicants under the age of 18, study group students, Assemblies of God ministerial credential applicants,
or those who desire to be represented by other persons. Send the signed form to GU Student Services by mail, fax, or scanned email
attachment (studentinfo@globaluniversity.edu).
Please clearly print or type all information.
Student ID number:
___________________________________
Date of Birth: ________/ _________ / ________
DD MM YYYY
Email: _______________________________________________
Phone: ______________________________________________
Student Name: ________________________________________
Last / Family
____________________________________________________
First / Given Middle
Address: ____________________________________________
____________________________________________________
City State / Province
____________________________________________________
Postal Code Country
I authorize Global University to release all academic and nancial records to and give authorization for my courses to be ordered by the
following (select all that apply):
Specied individual (spouse, parent, chaplain, pastor, etc.)
Name of individual: _________________________________________________________________________
Relationship to student: _____________________________________________________________________________________
Global University-approved study group
____________________________________________________________________ ________________________________
Name of study group, church, or organization Study group account number
________________________________________________________________________________________________________
City, State, and Zip Code
Assemblies of God District Council
Name of district: ___________________________________________________________________________
This authorization is in effect until such a time that I contact Global University in Springeld, Missouri, and withdraw my authorization
in writing. I have read and understand Global University’s cancellation and refund policy as it pertains to the specic level of courses
(BSB, undergraduate, or graduate) that are being ordered.
Student Signature:
____________________________________________________ Date: _______________________________
1211 S. Glenstone Avenue, Springeld, MO 65804 USA
Telephone: 1-800-443-1083 USA; 417-862-9533 Outside USA • Fax: 417-862-0863 • Email: studentinfo@globaluniversity.edu
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2021 Undergraduate Application (USA) (Global University)

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Completed 8 March 2021

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