University Application Form

University Application

Please fill in the form carefully
Name*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile*

Area CodePhone Number
E-mail*
IG handle*
@myname if none
Academic Information
Influenncer University Program you choose to pursue*
Semester*

SpringFall
Admissions Information
Do you know what your purpose is? *
Do you have a personal growth plan? *
What is your biggest asset?*
What is your biggest liability?*
What is your least worthwhile emotion, and how has it stopped you from growing?*
What is your most worthwhile emotion, and how has it benefited you?*
What is your best habit? Worst habit? *
What is most fulfilling to you?*
What is your most prized possession? *
Do you have a relationship with God? If so, describe it. If not, would you like to develop one? *
What's one thing you want people to know about you? *
Why do you hope to gain from participating in PURPOSED? *
Total cost of the program is:

PAID IN FULL: $525

PAYMENT INSTALLMENT: $275/month for two months

$50 deposit is non-refundable, but will be deducted from the balance of the course.

My Products

Influencer University #PURPOSED DEPOSIT $50.00

Total $0.00

University Application