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8/4/2019 AZUSA Ministry Training Institute Degree Application
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AZUSA World Ministries Training Institute
Degree Student Enrollment Package
Application
Program of Choice / Fee Schedule
Accreditation Signature Page
Resume / Portfolio Guidelines
Transcript Request Form
Automatic Credit Card Billing authorization Form
Please be sure to fill out the entire packet in and send back
8/4/2019 AZUSA Ministry Training Institute Degree Application
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New Student Returning Student AZUSA Member Non-Member
Program Option:On-Campus CD DVD On-Line
Confidential Information:
Gender:Male Female Salutation:Mr. Mrs. Miss. Ms. Jr. Sr. I II.
Name: _______________________________________________________________________________________
(First) (Middle) (Last)
Social Security Number: (Degree Student Only)_________/_________/_____________
Citizen of: __________________________________________________ Date of Birth_______/_______/______
Mailing Address: ______________________________________________________________________________(City) (State) (Zip)
Telephone: ( ) ______________________( ) ______________________ ( ) ___________________(Home) (Work) (Cell)
Email address: ________________________________________________________________________________
Emergency Contact Name: __________________________________Telephone: ( ) ___________________
Marital Status:Married Single Separated Divorced Widow
f applicable Name of Spouse:___________________________________________________________________
(First) (Middle) (Last)
s English your Primary Language:Yes No
Please list the Names and relationship of any students who have attended or are attending MTI.
1. ____________________________________________________ Relationship: ___________________________
2. ____________________________________________________ Relationship: ___________________________
3. ____________________________________________________ Relationship: ___________________________
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
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Briefly explain why you want to attend MTI: ______________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
What do you feel is your call?Apostle Prophet Teacher Evangelist Pastor Ministry of Hel
List the Church you currently attend: ____________________________________________________________
How did you hear about MTI?MTI Testimony Radio TV
Newspaper another Student Visit to Azusa
Word of mouth Church member other: ________________
MINISTRY TRAINING INSTITUTE is supported by free will offerings and Committed Partners.
Yes, I will be a financial and prayer partner with Dr.s Alfred & Beverly Craig, and in support of their
vision of MTI to Train Ministers and those called to Ministry of Helps to establish churches throughout Arizo
he United States and the World.
will become a:Gold Partner (2year commitment) Platinum Partner (4 year commitment)
My Monthly commitment is:$5.00 $10.00 $20.00 $50.00 Other ___________________
Signature___________________________________________________ Date ________/_________/___________
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
8/4/2019 AZUSA Ministry Training Institute Degree Application
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AZUSA Members Degree Fee Schedule*** Books not Included, (Notes Included)
Option # 1 Associates Degree in Advanced Biblical Studies (Two Year Program)(On Campus)$195.00 Registration $125.00 x 24 monthly payments = ($3,000.00)
Correspondence (CD or DVD)$195.00 Registration $203.13 x 24 monthly payments = ($4,875.00)
(Online)$195.00 Registration $203.15 per Class = (32 Classes)
Option # 2 Bachelors Degree in Practical Ministry (Four Year Program)
(On Campus) $195.00 Registration $101.56 x 48 monthly payments = ($4,875.00)
Correspondence (CD or DVD) $195.00 Registration $179.68 x 48 monthly payments = ($8,625.00)
(Online)$195.00 Registration $203.15 per Class = (64 Classes)
Option # 3Masters Degreein Church Organization and Management (Six Year Program)
(On Campus) $195.00 Registration $108.38 x 72 monthly payments = ($7,875.00)
Correspondence (CD or DVD) $195.00 Registration $187.50 x 72 monthly payments = ($13,500.00)
(Online) $195.00 Registration $203.15 per Class = 96 Classes
NonMembers Degree Fee Schedule*** Books not Included, (Notes Included)
Option # 1 Associates Degree in Advanced Biblical Studies (Two Year Program)
(On Campus)$195.00 Registration $166.67 x 24 monthly payments = ($4,000.00)
Correspondence (CD or DVD)$195.00 Registration $270.83 x 24 monthly payments = ($6,500.00)
(Online)$195.00 Registration $203.15 per Class = (32 Classes)
Option # 2 Bachelors Degree in Practical Ministry (Four Year Program)
(On Campus) $195.00 Registration $135.41 x 48 monthly payments = ($6,500.00)Correspondence (CD or DVD) $195.00 Registration $239.58 x 48 monthly payments = ($11,500.00)
(Online)$195.00 Registration $203.15 per Class = (64 Classes)
Option # 3Masters Degreein Church Organization and Management (Six Year Program)
(On Campus) $195.00 Registration $177.08 x 72 monthly payments = ($10,500.00)
Correspondence (CD or DVD) $195.00 Registration $250.00 x 72 monthly payments = ($18,000.00)
(Online) $195.00 Registration $203.15 per Class = 96 Classes
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
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AZUSA WORLD MINISTRIES TRAINING INSTITUTE
FRIENDS INTERNATIONAL CHRISTIAN UNIVERSITY
Portfolio Guidelines
EDUCATION
A. High School name, Address, attendance dates, major, credits and diplomas earned.
B. College/University names, addresses, attendance dates, major, credits and diploma earned.
Appendix: official transcripts are required with school and registrars signature.
C. Technical or trade school names, addresses, attendance dates, major, credits and diploma earned.
Appendix: Certificates and Diplomas (photocopies ok) are required.
D. Apprenticeships, Internships, high performance responsibility ( e.g. aircraft pilots).
Appendix: Certificates, flight logs, Journals.(photocopies ok)
E. General Learning: describe non job related learning experiences that you feel justify university credit. Include atatement explaining why you feel credit is justifiable. (i.e. years accomplished, level of expertise
F. Languages: if you speak, read or write any language other than English, state which language and the extent of yo
apability. Describe situations in which used; provide translations you have done if applicable.
EMPLOYMENT HISTORY
A. Employer name, address, phone number, 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, and 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
organization, years active, and 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 and describe your participation.
Appendix: appointments, programs, syllabi, announcements, etc.
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
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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 and 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, publis
nd year of publication)
PUBLISHED MATERIALS
A. Manuals, technical writings, proposals etc
B. Books or articles, patents, copy writes 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, et
ADDITIONAL INFORMATION
A. Notes, remarks and miscellaneous information with items of support & documentation
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
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Education Information
Please include both Traditional Four Years and Non Traditional school attendance,
including Bible Training and Seminaries.
#1 Institution name: ___________________________________________________________________________
nstitution City and State: ______________________________________________________________________
Major ____________________________________________________ Hours attended_____________________
Transcript (select one):Attached To follow Not Available
Diploma/Certification/Degree: Yes No Date of completion: _________/___________/__________
#2 Institution name: ___________________________________________________________________________
nstitution City and State: ______________________________________________________________________
Major ____________________________________________________ Hours attended_____________________
Transcript (select one):Attached To follow Not Available
Diploma/Certification/Degree: Yes No Date of completion: _________/___________/__________
#3 Institution name: ___________________________________________________________________________
nstitution City and State: ______________________________________________________________________
Major ____________________________________________________ Hours attended_____________________
Transcript (select one):Attached To follow Not Available
Diploma/Certification/Degree: Yes No Date of completion: _________/___________/__________
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
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Pastoral and Ministerial Experience
Please complete this section; a brief description of your ministerial duties would be greatly appreciated. This
nformation may be considered for transfer credit for the lifetime learning program. Please include additiona
nformation on your resume.
CURRENT MINISTRY INVOLVEMENT
Name of church: ___________________________________________ Pastor/Overseer_____________________
Ministerial position _____________________________________ Begin/end dates (month/year) _____________
Type of Ministry duties_________________________________________________________________________
MINISTRY EXPERIENCE
Name of church: ___________________________________________ Pastor/Overseer_____________________
Ministerial position _____________________________________ Begin/end dates (month/year) _____________
Type of Ministry duties _________________________________________________________________________
MINISTRY EXPERIENCE
Name of church: ___________________________________________ Pastor/Overseer_____________________
Ministerial position _____________________________________ Begin/end dates (month/year) _____________
Type of Ministry duties _________________________________________________________________________
Please select all Ministerial experience that applies:
Bishop Associate Pastor Administration Video/Tape ministry
Pastor Youth/Childrens ministry Elder/Armor bearer Dance ministry
Co-pastor Music Fundraising Sunday school
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
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Statement of Truth
understand that all items submitted to AZUSA World Ministry Training Institute (Accreditation by) Frie
nternational Christian University as a part of the application process become the permanent property
AZUSA WORLD MINISTRY TRAINING INSTITUTE (ACCREDITATION BY) FRIEN
NTERNATIONAL CHRISTIAN UNIVERSITY and will not be returned to me. All information submitte
AZUSA World Ministry Training Institute (Accreditation by) Friends International Christian Universit
trictly confidential and will not be released to any party without written request directly from the student.
tudents must provide written requests when requesting transcripts or other documentation from the univers
hereby state that the information contained in this application is correct and true. If AZUSA WOR
MINISTRY TRAINING INSTITUTE (ACCREDITATION BY) FRIENDS INTERNATIONAL CHRISTI
UNIVERSITY is notified that any information contained herein is false, it will be grounds for my immed
denial or dismissal. I also understand that completion of this application in no way guarantees or im
acceptance and/or enrollment as a student at AZUSA WORLD MINISTRY TRAINING INSTITU
ACCREDITATION BY) FRIENDS INTERNATIONAL CHRISTIAN UNIVERSITY.
Signature: __________________________________________________________ Date: ______/______/_______
By signing this application you certify that the information you provided is true and complete to the best of your knowledge
PLEASE REMIT APPLICATION/REGISTRATION FEE OF $195.00 WITH THIS APPLICATION
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
8/4/2019 AZUSA Ministry Training Institute Degree Application
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AZUSA WORLD MINISTRIES TRAINING INSTITUTE
FRIENDS INTERNATIONAL CHRISTIAN UNIVERSITY
5109 W. Thomas Rd. Phoenix, AZ. 85031
Accreditation Signature Page
An accrediting organization is a watchman on the wall. Webster defines accreditation z to give trust
onfidence to; to vouch for; to recommend; to furnish with credentials, as an envoy or ambassador. Ev
accreditation group is not the same. They are different and focused in different areas of accreditation.
Accrediting Commission International is the Internal accrediting commissions which holds as its prim
objective the encourage and maintenance of sound scholarship and the highest academic achievement in
areas of private education. Quality education is the goal of all times. Its purpose is preparation of qua
ducation in private school, colleges, and theological seminaries. It is a non-governmental body and makes cl
o be connected with the government.
A degree covers the major taken with that degree. A student or potential student must understand that cre
aken in one type of program may or may not transfer to another type program. This is the sole determinatio
he receiving institution
The job market is highly competitive. Training is specialized is most fields. A graduate in one field may h
difficulty in being hired in field they are not certified for.
By signing this form, I am signifying that have received the student handbook/Catalog and I understand the t
of degree for which I have applied and neither ACI nor AZUSA World Ministry Training Instit
Accreditation by) Friend International Christian University is responsible for my employment goals.
Student/Potential student printed name___________________________________________________________
Student/Potential student signature:________________________________________Date______/______/_____
Be sure to retain a copy of the application for your files.
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
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AZUSA WORLD MINISTRIES TRAINING INSTITUTE
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 from above: __________________________________________________________
Last, First, Middle initial)
Social security number: __________________________________________________________________________
Degree (s) obtained: ____________________________________________________________________________
Dates of enrollment: ____________________________________________________________________________
(REQUIRED INFORMATION)
Please send one (1) official transcript to:AZUSA WORLD MINISTRIES
Attn.: Registrar5109 W. Thomas Rd.Phoenix, AZ. 85031
Student signature: _____________________________________________ Date ________/_________/__________
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
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AZUSA WORLD MINISTRIES TRAINING INSTITUTE
FRIENDS INTERNATIONAL CHRISTIAN UNIVERSITY
Automatic Credit Card Billing Authorization Form
f you would like to enjoy the convenience of automatic billing, simply complete the credit information section be
nd sign the form. All requested information is required. Upon approval, we will automatically bill your credit card
he amount indicated and your total charge will appear on your monthly credit card statement. You may cancel
utomatic billing authorization at any time by contacting us in writing or by selecting the onetime payment option.
Credit Card Information ( To be completed by Customer)
AZUSA World Ministry Training Institute (Accreditation by) Friend International Christian University accepts the
ollowing credit/ debit cards: Visa, Master Card, American Express and Discover. All information listed below isequired to process the automatic payment.
Cardholders name: (as it appears on your card): ______________________________________________________
Credit Card Type: _____________ Credit Card Number: _______________________________ Expires _____/___
(month & ye
Billing Address: _______________________________________________________________________________
Cardholders Signature/ E- Signature: ____________________________________ Date: _______/_______/_______
Customer information (To be completed by AZUSA WORLD MINISTRY TRAINING INSTITUTE
(ACCREDITATION BY) FRIENDS INTERNATIONAL CHRISTIAN UNIVERSITY )
FOR OFFICE USE ONLY
Customer name:__________________________________________ Phone number: _________________________
Payment Information (To be completed by AZUSA WORLD MINISTRY TRAINING INSTITUTE
(ACCREDITATION BY) FRIENDS INTERNATIONAL CHRISTIAN UNIVERSITY)
authorize AZUSA World Ministry Training Institute (Accreditation by) Friends International Christian University t
utomatically bill the card listed below as specified:
Amount $ _______________________ Begin billing on date: _____/_____/______ End Billing:_____/_____/____
Frequency:One Time Weekly Bi- Weekly Semi- Monthly Payment in full
Customer provides written cancellation Date: _______/_______/___________
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933
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APP ICATION / REGISTRATION FEE PAYMENT
Please do not fill outFOR OFFICE USE ONLY
DATE OF ACCEPTANCE:______ _____________________________________
DATE POSTED:______________ _____________________________
CASH$________________________________________________
CHECK
#___________________________$________________________________________________
CASHIER CHECK
#___________________________$________________________________________________
MONEY ORDER
#___________________________$________________________________________________
CREDIT CARD TYPE:
Debit Card CARD NUMBER: ________________________________________________
America Express EXPIRATION DATE:________________________________________________
Discover AMOUNT AUTHORIZED: $________________________________________________
Master Card BILLING ZIP CODE:________________________________________________
Visa NAME ON CARD:________________________________________________
AUTHORIZING SIGNATURE:______________________________________________
Mail / Return your application to:
5109 W. Thomas Rd. Phoenix, AZ. 85031 Office Number: 602-269-6959 / Fax 602-269-7933