Application Form

On Line University Degree Program
Pre-Assessment Evaluation Application Form

How does the process work?

Prospective students submit this Pre-assessment Application Form for the degree of their choice – BS; BA; MA; MS; MBA; or PhD. Our Educational Assessment Committee will review and evaluate the application. If you can qualify, one of our registrars will contact you by e-mail or by telephone with the results of the evaluation.

Please complete this evaluation form as thoroughly as you can so that we can accurately
assess your accomplishments.

Incomplete forms will not be processed.

This assessment is totally free of any charge, and does not obligate you in any manner.

About You

Full Name:*

Date of Birth:*

Gender:*

Years of Experience
(related to your field):*

Current Position at Work
(e.g. Manager, Secretary, etc.):*

Years in Current Position:

Highest Level of Formal Education Completed:*

Certificates or Other Training Completed:

Your Degree Preferences

Degree Preference:*
High School (from associated institute)
Associate (AA /AS)
Bachelor (BA / BSc / LLB)
Masters (MA / MSc / MBA)
Doctorate (PhD / PsyD / EdD / DdD / JD etc.)
Other or Additional (please specify below):

Preferred Field of Study:

Other (please enter other field of study):

Briefly Outline the Work / Life Experience
That May Qualify You for This Degree:
Note: there is no need to falsely your claims. We may call
you to review your relevant experience. We rely on you
to submit truthful information regarding your experience.

Please Describe Any Other Information You Feel
May Help You Qualify for the Degree You Seek.
(include military experience, volunteer work, etc.):

Resume / CV:
(If you have a resume, please paste it below)

Your Contact Information

International Telephone Code:*

City Telephone Code:*

Primary Telephone Number:*

Secondary Telephone Number:

Mobile Telephone Number:

Fax Number:

Contact E Mail Address:*

Retype Contact E Mail Address:*

Address:*

City:*

County / State / Province / Region / District:

Post Code*

Country*

General

How did you hear about this site?

Agreement Section

By pressing the send button, you are aware of and agree to the following:

• I certify that I am over 18 years old, and the person who's name appears on this application, and that all the information I have provided is complete and accurate to the best of my knowledge.

• I understand that this is a pre-assessment application form that will be forwarded to the Online University Degree Program, if this application meets their standard. I hereby give them the right to call my telephone numbers, as submitted, for any further inquiries.

• I understand that withholding information requested, or giving false information, may make me ineligible for admission and enrolment. I understand that if I fabricated any issues herein, I am eligible for prosecution and/or revocation of any degree that may be awarded.

• I authorize the Online University Degree program to utilize any and all public means available to verify the information herein. I UNDERSTAND ON LINE UNIVERSITY DEGREE PROGRAMS WILL NOT CONTACT MY EMPLOYER OR ANY PREVIOUS EMPLOYER WITHOUT MY DIRECT CONSENT.

• I understand On Line University Degree Programs admits students of any race, religion, age, sex, colour handicap, sexual orientation and national or ethnic origin to all the rights and privileges, programs, and activities generally accorded or made available to students at the university. it does not discriminate on the basis of race, religion, age, sex, colour handicap, sexual orientation and national or ethnic origin in administrating it's educational policies, admissions policies, or other university administered programs.

(Type your name here)
Signature
E-Mail

In accordance with the Electronic Signatures in Global and National Commerce Act (E-Sign), you type written signature constitutes a legal and binding application agreement.
Within 5-6 business days of sending this application, you should receive an acknowledgement form the registrar's office.

About You
Full Name:*
Date of Birth:*
Gender:*
Years of Experience (related to your field):*
Current Position at Work (e.g. Manager, Secretary, etc.):*
Years in Current Position:
Highest Level of Formal Education Completed:*
Certificates or Other Training Completed:
Your Degree Preferences
Degree Preference:*	High School (from associated institute) Associate (AA /AS) Bachelor (BA / BSc / LLB) Masters (MA / MSc / MBA) Doctorate (PhD / PsyD / EdD / DdD / JD etc.) Other or Additional (please specify below):
Preferred Field of Study:
Other (please enter other field of study):
Briefly Outline the Work / Life Experience That May Qualify You for This Degree: Note: there is no need to falsely your claims. We may call you to review your relevant experience. We rely on you to submit truthful information regarding your experience.
Please Describe Any Other Information You Feel May Help You Qualify for the Degree You Seek. (include military experience, volunteer work, etc.):
Resume / CV: (If you have a resume, please paste it below)
Your Contact Information
International Telephone Code:*
City Telephone Code:*
Primary Telephone Number:*
Secondary Telephone Number:
Mobile Telephone Number:
Fax Number:
Contact E Mail Address:*
Retype Contact E Mail Address:*
Address:*
City:*
County / State / Province / Region / District:
Post Code*
Country*
General
How did you hear about this site?
Agreement Section By pressing the send button, you are aware of and agree to the following: • I certify that I am over 18 years old, and the person who's name appears on this application, and that all the information I have provided is complete and accurate to the best of my knowledge. • I understand that this is a pre-assessment application form that will be forwarded to the Online University Degree Program, if this application meets their standard. I hereby give them the right to call my telephone numbers, as submitted, for any further inquiries. • I understand that withholding information requested, or giving false information, may make me ineligible for admission and enrolment. I understand that if I fabricated any issues herein, I am eligible for prosecution and/or revocation of any degree that may be awarded. • I authorize the Online University Degree program to utilize any and all public means available to verify the information herein. I UNDERSTAND ON LINE UNIVERSITY DEGREE PROGRAMS WILL NOT CONTACT MY EMPLOYER OR ANY PREVIOUS EMPLOYER WITHOUT MY DIRECT CONSENT. • I understand On Line University Degree Programs admits students of any race, religion, age, sex, colour handicap, sexual orientation and national or ethnic origin to all the rights and privileges, programs, and activities generally accorded or made available to students at the university. it does not discriminate on the basis of race, religion, age, sex, colour handicap, sexual orientation and national or ethnic origin in administrating it's educational policies, admissions policies, or other university administered programs. (Type your name here) Signature E-Mail In accordance with the Electronic Signatures in Global and National Commerce Act (E-Sign), you type written signature constitutes a legal and binding application agreement. Within 5-6 business days of sending this application, you should receive an acknowledgement form the registrar's office.