Application Form, Page 1 of 2

SERVANTS UNIVERSITY

APPLICATION FORM (1 OF 2)
Please complete the following form honestly and completely. Set aside several minutes in order to complete the entire application in one sitting. You cannot save uncompleted applications.
Online Training Only (check to indicate you understand the following):*

Servants University ONLY offers online education. Students cannot take in-person classes. For international students, we do not provide form I-20 or assistance to come to the United States.
Financial Ability

An application fee is required to complete this application and must be sent within 3 days of submitting this form.

Visit our Cost of Attendance page to see the Application fee.

After submitting page 2 of the application, you will be directed to a page that provides information on how to pay the application fee.
Application Fee payment*

I understand and will be sending the application fee within 3 days of completion of this application.
How do you plan to pay for your education?*

I can afford to pay the small per-course Assessment fees to earn college credit.I cannot afford the small per-course Assessment fees, so I would like to apply for the Shaping Destiny Scholarship to earn college credit.I only want to take classes for experience. I do not need to earn college credit toward a certificate or degree.
Scholarship

If you would like to apply for the Shaping Destiny Scholarship, click to learn more about it.
Desired Start Semester*
Desired Start Year*
How did you hear about us?*

FacebookOrphan Care Movement Blog SiteShaping DestinyGoogle SearchFriend/Family/Acquaintance/ Coworker/BossOther
If you were referred to us, write the name of the person below:*
If not applicable, type N/A
Choose Program of Study:
Choose a degree or certificate program by selecting Undergraduate/Graduate below and then selecting the corresponding program. If you would like to audit a course, select "Audit a Course" at the bottom of the drop-down.

*Please note: If you have already graduated with a Bachelor’s degree, you should apply for a Graduate program (such as a Graduate Certificate, Master’s degree, etc). Everyone else who does not have a Bachelor’s degree should apply for an undergraduate program.
Are you enrolling in an undergraduate or graduate level program?*

UndergraduateGraduate
GRADUATE DEGREES & CERTIFICATES*
UNDERGRADUATE DEGREES & CERTIFICATES*
If you selected "Audit a Course" please give the course name and title of the course you are interested in
What is your planned pace of study?*

Part-time (1-3 courses per semester)Full-time (4 courses per semester)
Have you paid your application fee? You must pay the application fee before proceeding to fill out this application form. If you haven't, please click here and pay the fee. Then return back to this form and continue.
Check what applies. I have paid the application fee:*

OnlineThrough Western Union or Money Gram and have emailed the code to the college.Through snail mail to your P.O. Box address (Only if you live in the U.S)Other
Personal Information
Full Name*

First NameMiddle NameLast Name
Preferred Name*
Birth Date*

MonthDayYear
Gender*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Country of Citizenship*
Place of Birth (City, State, Country):*
Email Address*

Confirmation Emailexample@example.com
Receive future course information

Yes, subscribe me to receive updates and information via email.
Phone Number (cell)*

Area CodePhone Number
Phone Number (Home)

Area CodePhone Number
Best time to Call
Have you applied to this school before?
If yes, were you accepted?

YesNo
If you were previously accepted, why did you not attend? If you where not accepted, why? (please respond to the best of your knowledge)
Educational & Employment Information
Highest level of education*
List your High School and any other schooling beyond High School. Include school name, location, dates, major/minor and hours completed or degree.*
List your employment history for the past five years, beginning with your present or most recent job and working backwards. If you haven't been employed in the last 5 years, type "N/A." *
List significant volunteer activities in your country in the last 3 years. If none, type "N/A".*
List all international volunteer activities with approximate dates. If none, type "N/A".*
Please verify that you are human*
Should be Empty:

SERVANTS UNIVERSITY

Choose Program of Study:

Personal Information

Educational & Employment Information