425 Second Street S.E.
Suite 610
Cedar Rapids, IA 52401

1 800 347 8658

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ENROLLMENT FORM

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

 

Date     

Last Name    First Name    MiddleName   
(This form of your name will appear on your diplomas)

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 enroll in the Theological University of America to complete
the following degrees (Please mark your choices):

REGENTS:         BA        BM        MA        MM        MDiv       DMin        PhD*
                        * PhD requires a dissertation.

EXPERIENTIAL:         BA       BM        MM        MA        MDiv          DMin    PhD*
                                 *PhD requires a  dissertation.

TRADITIONAL:      BA    BM        MA    MM        MDiv        DMin        PhD*
                             *PhD requires a  dissertation.

MAJOR FIELD OF STUDY (as applicable)

Bachelor's Degree       

Master's  Degree       

Doctorate Degree   

METHOD OF TUITION REMITTANCE: Personal Check    Bank Check/Draft    Credit Card*                                                        *(not available in all countries)


______________________
TUITION AGREEMENT
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 on 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 PROGRAM and
TRADITIONAL NON-RESIDENCE DEGREE PROGRAM, 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 remtted in full.

I understand that my degree(s) will not be conferred until all tuition is paid 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. Additionally, I agree to remit any other Fee stated in the TUA
literature at the time of my enrollment.
 

I understand and accept the tuition and fee schedule as described above.

    I understand and accept .    

           

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