THE THEOLOGICAL UNIVERSITY OF AMERICA

425 Second Street South East                                                         Please click here to return to homepage
Suite 610
Cedar Rapids, IA 52401

1 800 347 8658                                                                     
E-Mail - registrar@theologicaluofa.com

                                                         APPLICATION FORM

YOU MAY SEND THIS FORM BY PRESSING THE SUBMIT BUTTON BELOW OR
YOU MAY PRINT THE FORM AND SEND IT BY MAIL.

Date: Month Day Year

Last Name First Name Middle Name

Street Address   Apt Number

City    State ZIP

Country Other Address Information

E Mail Address

Home Telephone: Area Code Number

Office Telephone: Area Code Number

Cell Telephone: Area Code Number

FAX: Area Code Number

YOU MAY CHOOSE EITHER OR A COMBINATION
OF THE THREE DEGREE PROGRAMS

I apply for evaluation for enrollment in the Theological University of America to complete
the following degrees (Please click on the button following the degree choices.):

REGENTS: BA BM MA MM MDIV DMIN PHD

EXPERIENTIAL:  BA BM MA MM MDIV DMIN PHD

TRADITIONAL: BA BM MA MM MDIV DMIN PHD

MAJOR FIELD OF STUDY FOR EACH DEGREE (You may change your preference at any time.)

Bachelor's Degree

Master's Degree

Doctorate Degree

PLEASE SUBMIT ALL CREDENTIALS WITH THIS EVALUATION FORM

Copies of transcripts (unofficial for evaluation purposes ok) of all universities, colleges, Schools of Preaching
and Bible Institutes, and other degree or diploma awarding institutions; all relevant items listed on the
Criteria for Credit by Evaluation form. Life and other professional experiences that may have credit value.
If available, copies of articles, books, projects completed and published; a list of books read over the past                     two to four years; additional information you want evaluated for credit.

EDUCATIONAL EXPERIENCE

Please type or print clearly on a separate sheet of paper the name, location, date of attendance and graduation or GED of your high school diploma, the name(s), location(s), date(s), of attendance and graduation and the degree(s), major field(s)and minor field(s) of all universities and colleges, Schools of Preaching and Bible Institutes and other ministerial institutes you attended.

____________________________________

For the REGENTS VALIDATION DEGREE PROGRAM, I understand that the tuition for each degree in the Regents
Validation Degree Programs is only $600.00 plus a $25.00 diploma fee. My total tuition and fee is $625.00 for each degree. I understand that I may remit the tuition and fee in installment payments as arranged between me and the Theological University of America. I further understand that the degree will not be awarded until all tuition and fee are paid in full.

For the EXPERIENTIAL LEARNING DEGREE PROGRAMS and TRADITIONAL NON-RESIDENCE DEGREE PROGRAMS, I understand that the tuition is $155.00 for each credit hour required to complete my degree(s).

I understand that I may remit the tuition on installment payments. I understand that no course is considered complete and no course grade will be assigned until the course tuition is remitted in full.

The diploma fee for the Experiential Learning and Traditional Non-Residence Degree Programs is $25.00 for each diploma and is not included in the tuition amounts listed above.

YES  NO - I understand and accept the tuition and fee schedules as described above.