TRIAL BASIS APPLICATION

Please Complete All Appropriate Fields

Contact Data
1. U.S. SOCIAL SECURITY NUMBER (US Students)

2. FIRST NAME MIDDLE OR MAIDEN NAME LAST NAME

If any of your transcripts, test scores, etc. might arrive under any name(s) other than those listed above, enter name(s) here:

3.NUMBER AND STREET ADDRESS
CITY STATE Choose Outside USA Alabama Alaska Arizona Arkansas California Colorodo Connecticut Deleware Dist. Columbia Florida Georgia Hawaii Idaho Illiniois Indiana Iowa Kansas Kentucky Louisianna Maine Maryland Massachusettes Michigan Minnisota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP
COUNTY PROVINCE COUNTRY
COUNTRY OF CITIZENSHIP
HOME TELEPHONE
ALTERNATE TELEPHONE
EMAIL ADDRESS
EMAIL ADDRESS
(for verification - the two email addresses above must be exactly the same or this form will not be submitted)

4. ALTERNATE ADDRESS Check here if same as current address

NUMBER AND STREET ADDRESS CITY COUNTY PROVINCE COUNTRY ZIP (Full Address)

Application Data

5. APPLICATION DATE:

Intention: Full Time Part Time Non Degree
Definitions: St. MAE does not have Spring, Fall and Summer terms. You may work at your own pace. You will have 16 weeks to complete any course you start, which is the length of a traditional college term. If you can complete modules faster you will be able to graduate faster. By choosing "Full Time" you will save money by entering what would be the traditional equivalent to a full time term of five courses in a semester. Some St. MAE scholarships require students to choose Full Time status. This means you will take a minimum of five courses every 16 weeks until graduation, with a minimum of ten courses per calendar year. Trial Basis students pay $150 per course. Part Time Students pay $125 per course. Full Time students pay $100 per course as long as their Full Time status applies. Non-Degree status is for those students who do not intend to pursue a degree. Cost per course is the same as Part Time. By choosing Part Time, should you apply, you will be expressing your intention to pursue a degree. There is a five (5) year matriculation period requirement for all Part Time Degree Seeking students. If a student exceeds the required matriculation period for a degree, they may be required to repeat courses or exams as determined by St. MAE. to be awarded the degree they are seeking.

FAST TRACK: St. Michael Academy is happy to announce our Fast Track Program, for Associate through Doctorate Level. Cost is just $1000 per degree. Life Experience counts towards the degree you may be able to enter. Payment plans allow you to complete your degrees for as little as $100/month.

6. Documentation

None Required - (Trial Application)

7. If I like this course I might be interested in the following degrees:

Associate of Christianity
Associate of Christian Pastoral Bible Counseling
Bachelor of Theology
Bachelor of Christian Bible Counseling
Master of Christian Bible
Master of Christian Pastoral Bible Counseling
Doctor of Christian Pastoral Bible Counseling
Doctor of Eschatology
Doctor of Divinity
Doctor of Theology
Historical Avocational Diver Course Program (Underwater Archaeology)
Doctor of Theology in Religious Historical Significant Artifacts & Biblical Archaeology Education
Non Degree Seeking
Adjunct Professorship (Requires Masters or Doctorate Degree in field - income opportunity)
Associate of any of the above (scholarship and/or income opportunity)

Goals & Thinking

8. My primary goal is the following:

Personal Enrichment & Spiritual Growth
Growth in Leadership in My Local Church
Ordination
Missions
Local Outreach
I would like to set up my own St. MAE Satellite class as an associate - (fundraising or income opportunity)
Other as follows:

9.Doctrinal Thinking. Check all that apply:
(Optional)

I believe in the apostle's creed. If not explain:
I believe the Holy Spirit is present in people of many Christian denominations
I believe that bread and wine are changed into the body and blood of Jesus Christ by priests
I believe every word of the Bible is true in its original form
I believe in the intercession of saints like Mary, Peter and John
I believe that the Holy Spirit is being poured out in a latterday rain over all the earth as Joel prophesied
I believe that we are living in the last days and that Jesus will return very soon

10. St. Michael Academy accepts Christians of all denominations. What is your denominational background?

11a. What are your greatest strengths & talents? Please describe:

11b. Life Experience. Please tell us about any experience(s) you have which might qualify you to start at a higher level of study. These are things you would like us to know about yourself that would not appear in your transcripts:

Church Data

Not Required (Trial Applicant)

14, Involvement:
Tell us about the ways in which you have served your church and the ways in which you are currently active in your church.

15: Perception:
Are there any ways in which you feel your church could improve? Please describe.

Personal Data

Not Required (Trial Applicant)

Education (Optional for Trial Applicants)

22. Name(s) of High School(s) attended:
Address(es)
23a. Date of Graduation / / (mm/dd/yyyy)

23b. GED DATE / / (mm/dd/yyyy)
State of Issue

24. List any languages you speak fluently:

25. Colleges and Universities
List all post secondary colleges or universities you've attended. Include dates you attended and number of credits earned..
<br>
(Omission of any institutions you have attended constitutes falsification of records and voids application)

Name(s) of other institutions:City/State - Dates Attended - Degrees Earned - Credits Earned

26. Are you applying for transfer of credits or degrees from any of the above? yes no
If so, please explain

Employment (Optional for Trial Applicants)

27. Please list all places of employment you have worked for one year or longer. Provide dates you worked, phone number and address for each employer:

Financial Information

Payment - As a Trial Applicant your cost is $150 per course.

Refund Policy:
You must check this box in order to acknowledge that you have read the St. Michael Acadmy Refund Policy below:

REFUND POLICY
By checking this box you agree to pay St. Michael Academy of Eschatology for the courses you request based on the payment plan you choose. All refund requests must take place within three (3) business days of submission of the application. Students on Payment Plans must pay for all courses they register for even if they do not complete the courses. All Payment Plans which continue beyond the three day refund period must be paid in full at the $200/month payment plan rate until all completed courses are fully paid for.

29a. St. Michael Academy offers work opportunities for students in need of financial assistance. Sometimes this may apply for credit. Check below where appropriate if you would be interested in helping in any of the following ways:

Moderating forums on line
Developing courses
Providing research
Transcribing offline materials for use on the web
Translation of courses
Set up St. MAE Satellite Classes locally

29b. How did you hear about us?

Browsing the Internet
I am attending a Satellite Class
Pastor recommended it
Heard from a friend
Newspaper or Periodical
Bulletin at Church

Signature & Contract

30. I have read and understand the refund policy above.

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