Friends International Christian University

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Friends International Christian University Student Enrollment Package Application Accreditation Signature Page Resume / Portfolio Guidelines Transcript Request Form Automatic Payment Application Post Office Box 3979 ~ Merced ~ California ~ 95344-1979 www.ficu.edu ~ ficu@ficu.edu ~ (800) 509-7009 ~ (209) 384-3251 fax

APPLICATION FOR ADMISSION FRIENDS INTERNATIONAL CHRISTIAN UNIVERSITY Name (Last, First, Middle): Preferred Name: Social Security Number: Other names under which your transcript(s) may be listed: Mailing Address (City, State, Zip): Sex: Female Male Date of Birth (month/day/year) Phone: Email Address: Cell: Country of Citizenship: Is English your primary language? Yes No Marital status: Single Married Separated Divorced Widowed Name of spouse (if applicable): Number of Children: Ages Name, address, and phone of person to notify in case of an emergency: Please list the names and relationship of any relatives who have attended or are attending FICU. 1. 2. 3. The following questions are used for statistical purposes only. You are not required to complete this section of the application. If you complete this section, the information will not be used in evaluating your application for enrollment. FICU does not discriminate against applicants on the grounds of race, color, sex, age, national origin, disability, or veteran status. CURRENT MINISTRY STATUS (check all that apply) Are you a minister? Yes No ( Ordained Licensed) Credentials issued by: If you are currently involved in ministry, what is your role? If other, please list: IF YOU ARE A SENIOR PASTOR, PLEASE SUPPLY THE FOLLOWING INFORMATION: Church Name: Mailing Address (City, State, Zip): Phone: ( ) - Fax: ( ) - Cell: ( ) - E-mail: Website: www. PERSONAL INFORMATION Briefly, why do you want to attend Friends International Christian University? Briefly, what are your academic and profession goals? Please list short- and long-term goals. DEGREE INTENTIONS For which degree level(s) are you applying? In which degree program are you enrolling? Associates Doctor Biblical Studies Religious Education Bachelor Bachelor of Arts Biblical Counseling Theology Master Master of Arts Church Administration Religious Fine Arts Name, title, and phone number of three (3) personal references in Ministerial Leadership

EDUCATION INFORMATION Please include both Traditional Four Year and Non Traditional School Attendance including Bible Training and Seminaries. #1 Institution Name: Institution City, State: Major Hours Attended: Degree Completed: Yes No Date of Completion: Diploma/Certificate Earned: Yes No Transcript (select one): Attached To Follow Not Available #2 Institution Name: Institution City, State: Major Hours Attended: Degree Completed: Yes No Date of Completion: Diploma/Certificate Earned: Yes No Transcript (select one): Attached To Follow Not Available #3 Institution Name: Institution City, State: Major Hours Attended: Degree Completed: Yes No Date of Completion: Diploma/Certificate Earned: Yes No Transcript (select one): Attached To Follow Not Available PASTORAL AND MINISTERIAL EXPERIENCE Please complete this section; a brief description of your ministerial duties would be greatly appreciated. This information may be considered for transfer credit for the lifetime learning program. Please include additional information on your resume. CURRENT MINISTY INVOLEMENT Name of Church: Ministerial Position Pastor/Overseer: Begin/End Dates (month/year) Type of Ministry Duties MINISTRY EXPERIENCE Name of Church: Ministerial Position Pastor/Overseer: Begin/End Dates (month/year) Type of Ministry Duties MINISTRY EXPERIENCE Name of Church Ministerial Position Pastor/Overseer: Begin/End Dates (month/year) Type of Ministry Duties: Please select all Ministerial Experience that apply: Bishop Associate Pastor Administration Video/Tape Ministry Pastor Youth / Children s Ministry Elder/Armor bearer Dance Ministry Co-Pastor Music Fundraising Sunday School

STATEMENT OF TRUTH I understand that all items submitted to Friends International Christian University as part of the application process become the permanent property of FICU and will not be returned to me. All information submitted to Friends International Christian University is strictly confidential and will not be released to any party without written request directly from the student. All students must provide written requests when requesting transcripts or other documentation from the university. I hereby state that the information contained in this application is correct and true. If FICU is notified that any information contained herein is false, it will be grounds for my immediate denial or dismissal. I also understand that completion of this application in no way guarantees or imply acceptance and/or enrollment as a student at FICU. To qualify for admission to FICU, you must be a member of the Body of Christ. I am a member of the Body of Christ I am not a member of the Body of Christ I declare that all information given to be true to the best of my knowledge. Signature: Date: PLEASE REMIT APPLICATION/REGISTRATION FEE OF $110.00 WITH THIS APPLICATION For Office Use Only Application/Registration Fee Payment Date of Acceptance For Your Convenience, We Accept: Date Posted $ Cash $ Check Money Order Credit Card Authorization Code No. No. Type: AFFILIATE CENTERS STUDENTS ONLY Affiliate Center Faculty Approval Date of Payment Date of Submission American Express MasterCard Checking Debit Card Card Number: Expiration Date: Amount Authorized: Billing Zip Code: Name on Card: Authorizing Signature: Discover Card Visa

Friends International Christian University PO Box 3979, Merced, CA 95344-1979 252 Avenue E, Port St. Joe, FL 32456-1524 An accrediting organization is a watchman on the wall. Webster defines accreditation as to give trust or confidence to; to vouch for; to recommend; to furnish with credentials, as an envoy or ambassador. Every accreditation group is not the same. There are different and focused in different areas of accreditation. Accrediting Commission International is the international accrediting commissions which hold as its primary objective the encouragement and maintenance of sound scholarship and the highest academic achievement in the areas of private education. Quality education is the goal of all times. Its purpose is the preparation of quality education in private schools, colleges, and theological seminaries. It is a nongovernmental body and makes no claim to be connected with the government. A degree covers the major taken with that degree. A student or potential student must understand that credits taken in one type of program may or may not transfer to another type program. This is the sole determination of the receiving institution. The job market is highly competitive. Training is specialized in most fields. A graduate in one field may have difficulty in being hired in a field they are not certified for. By signing this form, I am signifying that I have received the Student Handbook/Catalog and I understand the type of degree for which I have applied and neither ACI nor Friends International Christian University is responsible for my employment goals. Please return this page with an original signature with a copy of your Student Tuition Covenant Agreement. Be sure to retain a copy for your files. Student / Potential Student Signature Student / Potential Student Printed Name Date

FRIENDS INTERNATIONAL CHRISTIAN UNIVERSITY PORTFOLIO GUIDELINES EDUCATION A. High School Name, Addresses, Attendance dates, major, credits and diploma earned. B. College/University Names, Address, attendance dates, major, credits and diploma earned. Appendix: Official transcripts are required with school seal and registrar's signature. C. Technical or Trade School Names, Address, Attendance dates, major, credits and diploma earned. Appendix: Certificates and Diplomas (photocopy OK) are required. D. Apprenticeships, Internships, High performance responsibility (e.g. aircraft pilots) Appendix: Certificates, Flight Logs, Journals (photocopy OK) E. General Learning: describe non job-related learning experiences that you feel justify university credit. Include a statement explaining why you feel credit is justifiable. (i.e. years accomplished, level of expertise, etc..) F. Languages: if you speak, read, or write any language other than English, state which language and the extent of your capability. Describe situations in which used; provide translations you have done if applicable. EMPLOYMENT HISTORY A. Employer Name, Address, Phone, name of supervisor, dates employed, job description. Appendix: Letters from Employers, Supervisors or Peers are proper from most recent positions. B. Military Service, Active and Reserve Appendix: DD214 (photocopy) C. Professional Teaching Experience Appendix: Evidence of activities. D. On-The-Job Training, Seminars, Etc: Program description, Attendance Dates, Total Hours, sponsor. Appendix: Evidence of participation: certificates, programs, letters of confirmation. SPECIALIZED ACTIVITIES AND ACHIEVEMENTS A. Membership in Civic, fraternal, volunteer or religious organizations and professional or trade associations: Name of organization, years active, offices held, extent of activity. Appendix: Membership cards (photocopies ok) or letters. B. Awards, Citations, or other Achievements LEADERSHIP EXPERIENCE A. Situations in which you have been a lecturer, panelist, instructor or teacher B. For what, when, hours, describe your participation. Appendix: Appointments, programs, syllabi, announcements, etc..

PROFESSIONAL & TRADE PUBLICATIONS YOU READ A. Name and publisher of each. B. Copies of at least three recent articles you consider important professionally. PROFESSIONAL LICENSES/CERTIFICATIONS A. List with dates of validity and provide photocopies. TRAVEL A. Foreign country visited, dates, purpose of trip, state value you gained from trip. SPECIALIZED ACTIVITIES & ACHIEVEMENTS A. Independent study and reading B. Books and projects of professional, a vocational and personal importance. (For books list author, title, city, publisher, and year of publication). PUBLISHED MATERIALS A. Manuals, technical writings, proposals, etc. B. Books or articles, patents, copyrights, trademarks, etc.. Appendix: copies of materials, supportive letters, copies of books and other important items. PERFORMING & CREATIVE ARTS A. Describe performances in which you have taken part B. Describe works you have created name directors, producers, tutors under whom you have worked. C. List awards prizes and honors you have received. Appendix: Artwork, programs, tapes, photographs, citations, etc. ADDITIONAL INFORMATION A. Notes, remarks, and miscellaneous information with items of support & documentation

FRIENDS INTERNATIONAL CHRISTIAN UNIVERSITY Transcript Request Form School from which transcript is requested Student Address (City, State, and Zip) Name (Last, First, Middle Initial) Name on transcript if different form above (i.e. maiden name) Social Security No. Degree(s) Obtained Dates Of enrollment: From To (REQUIRED INFORMATION) Please send one (1) Official Transcript to: Friends International Christian University Attn: Registrar PO Box 3979 Merced, CA 95344-1979 Student Signature and Date

Friends International Christian University Automatic Credit Card Billing Authorization Form If you would like to enjoy the convenience of automatic billing, simply complete the Credit Card Information section below and sign the form. All requested information is required. Upon approval, we will automatically bill your credit card for the amount indicated and your total charge will appear on your monthly credit card statement. You may cancel this automatic billing authorization at any time by contacting us in writing or by selecting the one time payment option. Customer Information (To be completed by FICU) Customer Name: Phone (please include area code first): Payment Information (To be completed by FICU) I authorize Friends International Christian University to automatically bill the card listed below as specified: Amount: $ Begin billing on date: Frequency: One Time Weekly Bi-Weekly Semi-Monthly Monthly End billing: Payment in full Customer provides written cancellation Date: Credit Card Information (To be completed by Customer) Friends International Christian University accepts the following credit/debit cards: Visa, MasterCard, American Express and Discover. All information listed below is required to process the automatic payment. Credit Card Type: Credit Card Number: Expires (month/year): Cardholder s name: (as it appears on your card): Billing Address (Street City State Zip): Cardholder s Signature / E-Signature: Date: