holisticlifeuniversity@gmail.com 850-895-2000
Holistic Life University
Holistic Training * Reiki * EFT * Laser * Hypnosis * Aromatherapy * Yoga
Application for Admission
Please print and mail or fax application

UNIVERSITY of HOLISTIC THEOLOGY
ADMISSIONS AND ENROLLMENT APPLICATION

LAST NAME: 

FIRST NAME:

 

Preferred title (Mr, Mrs, Miss, Ms, Dr, or other)

HOME ADDRESS:

   

CITY:

STATE:

Post/Zip Code:

COUNTRY:

   

Phone (day):

Phone (evening:)

 

Fax:

Email:

 

DATE OF BIRTH:

 

Male/Female:

HIGH SCHOOL ATTENDED:

Date of Completion:

Qualifications and grades:

 
     

PREVIOUS COLLEGE OR UNIVERSITY EDUCATION

NAME OF COLLEGE:

Major Field of Study:

Degree Attained:

     

Dates Attended:

NAME OF COLLEGE:

Major Field of Study

Degree Attained:

     

Dates Attended:

NAME OF COLLEGE:

Major Field of Study

Degree Attained:

     

Dates Attended:

CURRENT VOCATION

   

Name and address of employer:

   

Position and responsibilities:

   
 

WHAT DEGREE OR QUALIFICATION ARE YOU SEEKING?

   

Level of Degree ( Masters, Dctorate, etc)

   

Exact full title of degree

   

If you wish a combined degree state combination here:

   

Special Interests

   
     

Do you have a portfolio of trainings, courses, miscellaneous study, university credits, and  verified

learning experiences that you wish us to evaluate for credit?   Yes / No   (If Yes, please submit with application)

DECLARATION: I apply for the course of study indicated above. All details on this form are true and correct.
I understand that the University of Holistic Theology is a non-traditional University in complete compliance with Florida laws governing Religous Institutions and Colleges. I am satisfied that the University and the eventual qualification are suitable for my needs. I have read and understand the University catalogue and understand and agree to the payment and refund policies. I understand that this agreement is between The Universtiy of Holistic Theology and myself.

Signature of student:                                                         

Date:

Please copy and paste this form into word processor to fill out and return to:

If mailing please enclose 50.00 application fee.

If faxing you may call and pay admission fee or pay here on our secure site. 

Price
Application For Admission Fee $ 50.00

Universtiy of Holistic Theology
77-A Section St. South
Fairhope, Al.  36532

Or Fax to (775) 628-7121

 

 

 

Holisticas Terapeuticas Arenal S.A.      Holistic Life University   
La Fortuna de San Carlos, Alejuela, Costa Rica

 

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