Date of Application: 

Your Information:

Name: 

Complete Mailing Address:

Home Phone:       Cell Phone: 

SSN #:       Date of Birth:  

E-mail address:  

Citizenship:  

The Secondary School School You Attended:

Name of Secondary School: 

Address of Secondary School: 

City, State and Zip of Secondary School: 

Date Graduated: 

Your Religious Affiliation:

Your Religious Affiliation:

Where Do You Attend Worship Services: 

Employment Information: 

Present Employer: 

Address of Employer: 

City, State and Zip of Employer: 

If employed at your present job for less than one year, give your previous employer's name and address. If you are self-employed or retired, please so state:

References:

(Give Name, Address & Phone Number of 2 References)

1st Reference Name:

1st Reference Address:

1st Reference Phone:

2nd Reference Name:

2nd Reference Address:

2nd Reference Phone:

Other Training:

Please supply the names and addresses of all colleges, trade schools, military schools and other special training programs that you have completed: 

To the best of my ability, I promise that the information on this application is correct. I further promise that if I am admitted to Magister University, I will study to show myself approved unto God; and that I will not cheat or have someone else take any test for me.

I further promise to pay my account on time, realizing that others are sacrificing their time and money to help me further my Christian education.

Signature:
By re-typing my name below, I understand I am signing this application: 

Name Signed:  

Date of Signature: