Application Form, Page 1 of 2

SERVANTS UNIVERSITY

APPLICATION FORM (1 OF 2)
Degree & Certificate Application

*Please note that this application is only for students applying to our University education program. If you are interested in taking courses for personal enrichment, do not complete this application. 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):
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
How do you plan to pay the small per-course assessment fees?
Scholarship

If you would like to apply for the Shaping Destiny Scholarship, click to learn more about it.

Note: If you are applying for scholarship, do not fill out this application till you have completed at least two Personal Enrichment courses. Your performance in those courses is needed to assess if you get the scholarship or not.
Desired Start Semester
Desired Start Year
How did you hear about us?

Other
If you were referred to us, write the name of the person/ organization/ website 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?
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?
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:

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
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?
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

Degree & Certificate Application

Choose Program of Study:

Personal Information

Educational & Employment Information