Application - evangelia University

ENCLOSE
Application for Admission
OFFICE OF ADMISSIONS
TWO RECENT
PHOTOS
 EVANGELIA UNIVERSITY
OF
2660 W. Woodland Drive, Suite 200  Anaheim, California 92801
YOURSELF
Tel: 714-527-0691  Fax: 714-527-0693  [email protected]
(1.5” x 1.5”)
PERSONAL INFORMATION
Full Name: _____________________________________________________________________Gender:  Male  Female
Last
First
Middle
한글 성명:_______________________________ 한자(漢子):________________________________ SSN (if available):__________-________-________
Home Street:
Address
City:
State or Country:
Postal or Zip Code:
Date of Birth: _____/_____/_________ City of Birth: ______________________________ State and/or Country of Birth:_________________________
Month
Day
Year
Phone Numbers: Cell: __________________________________ Home: ________________________________ Work:_____________________________
E-Mail Address:____________________________________________________________________________________________________________________
SCHOOL YOU PLAN TO ENTER
DIVINITY SCHOOL:
 Master of Divinity (M.Div.)
 Master of Arts in Religion (M.A.R.)
COLLEGE OF ARTS & SCIENCES:  Bachelor of Arts in Biblical Studies (B.A. in B.S.)
Planning to enter: Year: 20_______
 Fall Semester  Spring Semester
Acceptance into the fall or spring semester is automatic acceptance into the preceding summer or winter Session. Students
interested in attending these special sessions may register prior to attending the New Student Orientation (NSO).
Have you ever applied to Evangelia University (EU)?  Yes  No; Attended EU?  Yes  No; If yes, which semester?________________
STATUS
 U.S. Citizen  Resident Alien: Green Card No.: A____________________________________________
 Will Apply for F1 visa  F-1 Student: SEVIS ID No.:____________________________________________
 B1/B2 visa
 Others: please write visa type:___________________; write visa no.:_______________________________; WSC No. :________________________
If not a U.S. citizen, then citizen of what country:____________________________________________________________________________________
Is English your native tongue?  Yes  No; if no, please write your native tongue: __________________________________________________
Race:  African American;  American Indian;  Asian;  Caucasian;  Latin American;  Pacific Islander;  Other: ______________
Marital Status:  Single;  Married, date: ______________;  Window/Widower,  Separated,  Divorced, please write date: _________
Number & Ages of Children (e.g., three children – 5, 7 and 10 year-old):_____________________________________________________________
EDUCATION EXPERIENCE
High/Secondary School: _______________________________________________________ Graduation:_______________________________________
Name
Month
Year
High/Secondary School Location: City: ___________________________________________ State or Country:________________________________
If you have graduated from high/secondary school, list in chronological order your activities since high school graduation (schools
attended, employment, military service, extended travel, etc.). School must be listed even if you do not expect to transfer credit.
School & Employment, etc
Dates
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
EVANGELIA UNIVERSITY
APPLICATION PAGE 1 OF 3
Have you earned a degree from any college or university?
 Yes  No
If yes, complete the following:
College: _______________________________________________________________________________ Degree:_______________________________
Major: _________________________________________________________________________________
Date Conferred:_______________________
College: _______________________________________________________________________________
Degree:_______________________________
Major: _________________________________________________________________________________
Date Conferred:_______________________
Have you ever been dismissed or placed on academic or disciplinary probation?  Yes  No; if yes, explain the circumstances:
_________________________________________________________________________________________________________________________________
FINANCING YOUR EDUCATION AT EVANGELIA UNIVERSITY
Are you a dependent of your parents?  Yes  No
Do you or your parents own a home?  Yes  No
Please indicate ALL sources of financial assistance for which you MIGHT be a candidate?
 Personal income  Parent contribution  Other family assistance (grandparents, trust fund, etc.)
 Evangelia University scholarships (check all that apply, etc.)
 Academic
 Couple  Full course  On-campus work  Missionary Children
 Church matching scholarship
ACTIVITIES (SCHOOL, CHURCH, COMMUNITY)
List the major school, community and church activities (music, athletics, work) to which you have devoted much time and effort. If you
have received special recognition in any of these activities, please describe. If necessary, continue listing on a separate page.
Activity
Positions held and/or Honors won
Length of Participation
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
CHRISTIAN COMMITMENT
Evangelia University seeks Christians who are serious about their faith. The following questions, as well as the pastor's reference will help us
understand your Christian background and how Evangelia University can impact your faith.
Do you regularly attend church?  Yes. How often? (number of times a week, days of week, etc.) ______________________________  No
Name of Church: __________________________________________________ Denomination: _______________________________________________
Church Location: City: _____________________________________________ State (for U.S.A.) or Country:___________________________________
Do you consider yourself to be a Christian?  Yes  No
ESSAY: Briefly write an autobiographic statement in response to the following questions (Use separate sheets)
1. Your personal experience and call that led you to pursue theological studies. (Graduate only)
2. Your academic and vocational goals in seeking theological studies. (Graduate only)
3. How can Evangelia University assist in your growth as a Christian? (Undergraduate only)
REFERENCES
You are required to furnish at least two references: one from your pastor/ministry professional and one from your school, employer or
professional colleagues/personal friends. (Please see the attached form)
Pastor:___________________________________________________________________________________________________________________________
Name
Phone
_________________________________________________________________________________________________________________________________
Address
City
State or Country
Postal or Zip Code
School/Employer/colleague:___________________________________________________________________________________________________________
Names
Phone
__________________________________________________________________________________________________________________________________
Address
EVANGELIA UNIVERSITY
City
State or Country
Postal or Zip Code
APPLICATION PAGE 2 OF 3
INTERNATIONAL STUDENTS ONLY:
____________________________________________________
If already in the U.S.A., write your home address (foreign address):
Do you (applicant) plan on supporting both yourself & your dependent (if applicable)?
 Yes (self-sponsor): student’s personal fund* (in US dollars): U. S. $________________
Please enclose bank deposit certificate in applicant’s name.
 No (if no complete the following):
Sponsor’s Name:_____________________________________________ Relation to the sponsor:________________________________________________
Sponsor’s Address: _________________________________________________________________________________________________________________
Financial Support Amount per Year*:U. S. $________________________
I, (sponsor’s name),_____________________________________________, by signing this contract and under full obligation to provide the
amount (write above annual financial support amount), U. S. $_______________________, annually to the applicant listed on this
application. Failing to carry out my obligation could result in the dismissal of the student from the university, as the university cannot
provide for the expenses.
Sponsor’s Signature:______________________________________________________________________ Date Signed: _____________________________
Please enclose bank deposit certificate, stock, life insurance, and/or real estate documents in sponsor’s name.
ESTIMATE OF ANNUAL EXPENSES (based on two semesters of 9 months living expense; amounts in U. S. Dollars)
B. A.
Tuition & fees
M.Div. / M.A.C.E.
$2,990
$2,810
$3,350
400
600
800
9,800
9,800
9,800
$13,190
$13,210
$13,950
Text Supplies, etc
Living Expenses (applicant only)
YEARLY MINIMUM TOTAL
Dependent Fund
D. Min
Add $3,400 for each dependent (spouse / child). E.g. B.A. course with Family of 4: $23,390
*Note: This is a minimum guideline, mainly for transferring students. For initial international applicant, it is highly recommended to have
much higher figures (e.g., for single about $35,000 or more; for a family $50,000 or more depending on the size of family). The amount on
the bank deposit certificate must meet or exceed the fund amount that the applicant decided to indicate on this application.
DEPENDENT INFORMATION (International Students Only; List only dependents the applicant wish to have on I-20.)
Last, First
Date of Birth(m/d/y)
Country of Birth
Country of Citizenship
Gender
Spouse
Child
Child
Child
AGREEMENT (All Applicants)
I certify that all the information provided in my application is complete, factually correct and honestly presented. I understand that Evangelia
University may verify any information I have provided in my application and may deny me admission or enrollment if any information is found to
be incomplete or inaccurate. If admitted to Evangelia University, I agree to abide by the university regulations and to support the value of the
University.
×
Applicant's signature (required to process the application)
Date
SCHOOL USE ONLY (Do not write below this line.)
 Application Fee Paid
 Certificates of Graduation (
)
 Financial Documents
 I-20 Fee
 Transfer (Credits:_____; ___/___ /___)
EVANGELIA UNIVERSITY
 SEVIS I-901 Fee
 Diploma Copies (
)
 Transcripts (
)
 References (
)
 Complete App. (___/___/___)
APPLICATION PAGE 3 OF 3