Apply Now Yehuda University and Seminary 13475 Atlantic Blvd., Unit 8, #3037 Jacksonville, Florida 32225 Email: firstname.lastname@example.org APPLICATION FOR ADMISSION School Site:* City State Zip MAIL ALL APPLICATION FORMS TO: Admissions Office 13475 Atlantic Blvd., Unit 8, #3037 Jacksonville, Florida 32225 IMPORTANT: Applications will not be processed nor academic standing be assessed unless all questions are answered and theapplication signed and dated by applicant. Do not leave any question blank. Put .N/A. if an item, such as a FAX number or email address, does not apply. 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(Check one)* Licensed Ordained N/A Past Ministry Involvement* # years in Ministry* EDUCATIONAL INFORMATIONCollege/Seminary/Graduate School* School Name Location Degree Received Year College/Seminary/Graduate School School Name Location Degree Received Year College/Seminary/Graduate School School Name Location Degree Received Year College/Seminary/Graduate School School Name Location Degree Received Year College/Seminary/Graduate School School Name Location Degree Received Year SALVATION TESTIMONYEDUCATIONAL & MINISTRY GOALSADDITIONAL INFORMATION Non-Discrimination Policy: YUAS does not discriminate on the basis of nationality, ethnic origin, age, or gender. We guarantee the rights and privileges, and the availability of programs and activities to all students of the College. Privacy Rights of Students: STATUTE 20, UNITED STATES CODE, 1232g and regulations adopted pursuant thereto. The code provides for an institution to establish a category of student information termed .directory information. All information, such as health and medical records, disciplinary records, records of personal counseling, required student and family financial income information records, transcripts or student permanent academic records, student placement records and other personally identifiable information shall be open for inspection only to the student and such members of the professional staff of the college as have responsibility for working with the student. Such information will not be released to second parties without consent of the student. Except as required for use by the president in the discharge of his official responsibilities as prescribed by laws, regulations of the state board, and board policies, the design at edcustodian of such records may release information from these records to others only upon authorization in writing from the student or upon a subpoena by a court of competent jurisdiction. Upload Signature*Accepted file types: jpg, jpeg, png, gif.PLEASE READ CAREFULLY THE FOLLOWING AFFIDAVIT OF AGREEMENT BEFORE SIGNING* I Agree1. I certify that I have truthfully and accurately answered all questions contained in this application. I understand that falsification of any kind is grounds for refusal of my application or expulsion should falsehood be discovered after acceptance to the College. 2.I agree that I have been notified of my rights as recorded by STATUTE 20, UNITED STATES CODE 1232g. 3.I agree to abide by the policies of this institution as described in the Student Handbook and Course Catalog. 4. I understand that Yehuda University and Seminary is accredited by National Bible College Association a private non-governmental agency and is not regionally accredited. Yehuda University and Seminary has not sought U.S. Department of Education recognition at this time nor does Yehuda University and Seminary guarantee the acceptance of academic credit by colleges and universities or other Bible schools. 5.I acknowledge that Yehuda University and Seminary is not a job placement service and makes no claims regarding employment.