American Institute of Holistic Theology

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Note: The information you submit in this application will be transmitted over a secure connection.

I, hereby apply for admission to American Institute of Holistic Theology this day of , 2008 .

I REQUEST ENROLLMENT IN:

HOLISTIC HEALTH PROGRAM

Bachelor of Science (BS)
Master of Science (M.S.)
Doctor of Philosophy (Ph.D.)

HOLISTIC MINISTRIES PROGRAM

Bachelor of Science (BS)
Master of Science (MS)
Doctor of Philosophy (Ph.D)

HOLISTIC THEOLOGY PROGRAM

Bachelor of Science (BS)
Master of Science (M.S.)
Doctor of Philosophy (Ph.D.)

METAPHYSICS PROGRAM

Bachelor of Science (BS)
Master of Science (M.S.)
Doctor of Philosophy (Ph.D.)

PARAPSYCHIC SCIENCE PROGRAM

Bachelor of Science (BS)
Master of Science (MS)
Doctor of Philosophy (Ph.D.)

ELECTIVE CHOICES
( if applicable)

(Specify Course Number ).........

BS	MS
Ph.D.	DD

Upon enrollment into any doctoral program, A Course in Miracles or Buddhism may be substituted for General Theology. Please refer to the course listings in your catalog and select one:

General Theology A Course in Miracles Buddhism

STUDENT INFORMATION

NAME
First *	Middle *	Last *

ADDRESS
Street *
City *
State *
Zip Code *	-
Country

CONTACT INFORMATION
Telephone: Work :		Home: *
Email Address		Fax
Driver's License Number		State:
Social Security Number: *		Date of Birth: *
*Closest Relative not residing with you:*
Name:
Address
City		State
Zip Code	-	Telephone:

CURRENT OCCUPATION
Position: *
Company:
How Long?
Address:
City:
State:
Zip Code:	-

PREVIOUS EDUCATION
Primary & Secondary Highest Grade Completed: *
1 2 3 4 5 6 7 8 9 10 11 12 GED
College
A. Name of Institution
Check box if school will be sending official transcript.
Degree or Major		Credits
Degree Earned		Date

B. Name of Institution
Check box if school will be sending official transcript.
Degree or Major		Credits
Degree Earned		Date

C. Name of Institution
Certificate Earned		Date

D. Name of Institution
Certificate Earned		Date

ESSAY

Below, please write a couple of paragraphs explaining why you are interested in enrolling in AIHT and why you have chosen your particular field of study.

P A Y M E N T O P T I O N S

Please choose one of the following payment options:

PAYMENT IN FULL

A discount will be applied to your tuition with this option. Call your admissions advisor for details.

I am making a payment of:

FINANCE PLAN
(12% interest)

6 month	18 month
9 month	24 month
12 month

Minimum Down Payments :

Bachelor of Science	$400
Master of Science	$500
Doctor of Philosophy	$500
Multiprogram	$600

I am making a payment of

INTEREST FREE PLANS

90 Day Plan
Tuition divided into three equal payments. First payment due upon enrollment; second payment due in 60 days; and third payment due 90 days from enrollment.

Extended Interest Free Plan
This plan requires a minimum down payment of 25% of your total tuition. The balance will be financed interest free for 6, 9, 12,18 or 24 months.

6 Month Cash Plan
Pay half of tuition upon enrollment and the balance in five monthly interest free payments.

6 month	18 month
9 month	24 month
12 month

I am making a payment of

6 Month Credit Card
After down payment, pay tuition in five equal monthly credit card payments.

I am making a payment of