University Application Form

University Application

Please fill in the form carefully
Name

First NameMiddle NameLast Name
Gender
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
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.

Influencer University #PURPOSED DEPOSIT $50.00

Total $0.00

University Application