UAFWBBC Association Extension Organizations Program Application Form

Describe your Institutional Characteristics in terms of: 1. Academic Calendar, e.g., semester breaks, etc. _____________________________________________ 2. Off-Campus Locations (name, city, state/province) (see definitions); List offerings, credentials (if applicable) [Attach separate sheet if necessary]
Branch Campuses*
Additional Locations*
Extension Classes*
Distance Education (Method: i.e., correspondence, online)*

Control Affiliation

Give the name of the denomination by which your institution is controlled or to which it is closely affiliated. If none, write “independent.” b. If independent, identify the theological perspective to which your institution adheres, e.g., Baptist, Wesleyan. If course work is taught from an interdenominational perspective, write “interdenominational” or “nondenominational.”
Input Control Affiliation Info Here
College Courses to be taught other than UAFWBBC*
Degrees, Diplomas, Certificates Requested (See current Residential Course Catalog)

Number of Student Ready to Enroll / Participate*

I hereby certify that, to the best of my knowledge, the above information is correct.
Signature, Chief Executive Officer *

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$500.00 Quantity

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Institutional Data