AZUSA Ministry Training Institute Degree Application

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


2/13

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 ________/_________/___________




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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)


Option # 3Masters Degreein Church Organization and Management (Six Year Program)



(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)


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)


Option # 3Masters Degreein Church Organization and Management (Six Year Program)



(Online) $195.00 Registration $203.15 per Class = 96 Classes




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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.




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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




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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: _________/___________/__________














8/13

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



Type of Ministry duties _________________________________________________________________________

MINISTRY EXPERIENCE



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




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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




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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.




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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 ________/_________/__________




12/13



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: _______/_______/___________




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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:______________________________________________



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AZUSA Ministry Training Institute Degree Application

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