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Application for Re-Admission – Undergraduate - The Master's College

Application for Re-Admission – Undergraduate - The Master's College

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THE MASTER’S COLLEGE<br />

<strong>Application</strong> <strong>for</strong> <strong>Re</strong>-admission—For students who have previously enrolled.<br />

1. Please print in blue or black ink and answer every question.<br />

2. Use additional sheets as needed.<br />

3. If you have questions, call 800.568.6248 ext. 3363.<br />

4. Send completed application, along with $10 application fee, to:<br />

<strong>The</strong> Master’s <strong>College</strong> Office of <strong>Admission</strong>s, 21726 Placerita Cyn Rd, Santa Clarita, CA 91321<br />

FOR OFFICE USE ONLY<br />

Fee: Check No. Date:<br />

STUDENT INFORMATION<br />

SOCIAL SECURITY NUMBER<br />

TERM OF INTENDED ENROLLMENT:<br />

o Fall 20___ (August) or o Spring 20___ (January)<br />

Last Name First Middle<br />

Former Last Name (if applicable) Preferred First Name (if different from above) Email Address<br />

Gender<br />

o Male o Female<br />

Current Address (if temporary, valid until __/__/__)<br />

Date Of Birth<br />

__________/__________/__________<br />

Country Of Citizenship<br />

If not USA, green card o Yes o No<br />

Phone Number<br />

( )<br />

City State/Zip Country (If not USA)<br />

Permanent Address (Valid Until __/__/__)<br />

Phone Number<br />

( )<br />

City State/Zip Country (If not USA)<br />

<strong>Re</strong>ligion/Denomination How would you prefer we contact you Cell Phone Number<br />

( )<br />

Marital Status o Single o Engaged o Married o Separated o Widowed o Divorced o Widowed/<strong>Re</strong>married o Divorced/<strong>Re</strong>married<br />

Note: if you have ever been divorced, please attach a statement outlining (a) the circumstances involved, (b) your view on the related biblical teaching.<br />

Have you ever been convicted of a legal offense other than a traffic violation<br />

o Yes o No If yes, please explain on a separate sheet of paper.<br />

Ethnic In<strong>for</strong>mation (government statistical reports require the following): 1. Are you of Hispanic or Latino Ethnicity o Yes o No<br />

2. If No, please indicate only one of the following Ethnicities: o American indian or Alaska Native o Asian o Black or African-American<br />

o Native Hawaiian or Other Pacific Islander o White o Two or more races o Prefer not to indicate o Other (Specify):<br />

ENROLLMENT INFORMATION<br />

Educational Objective<br />

o <strong>The</strong> Master’s Institute o Bachelor’s Degree - Anticipated Graduation Date ______/______<br />

o Teaching Credential - Have Or Will <strong>Re</strong>ceive BA In ______/______<br />

Intended Program Of Study<br />

Have you previously applied <strong>for</strong> admission to TMC o Yes o No If yes, when Do you intend to be full-time (12 units per semester)<br />

o Yes o No If not, how many do you plan to take<br />

Where do you plan to live while at TMC<br />

o <strong>College</strong> Housing o Off-campus o With Parents<br />

o Check this box if you left <strong>The</strong> Master’s <strong>College</strong> due to academic or disciplinary disqualification.<br />

Use a separate sheet of paper to list any significant changes in your life which you believe will assist the admissions committee in making its decision regarding your return.


EDUCATION<br />

List all colleges you have attended since applying to <strong>The</strong> Master’s <strong>College</strong>, regardless of whether or not credit was earned. Have all transcripts sent to the<br />

Office of <strong>Admission</strong>s.<br />

<strong>College</strong> Location (City/State) Units Completed Dates Attended<br />

Have you ever been refused admission, suspended, had your enrollment terminated or been asked to withdraw by another college o Yes o No<br />

If yes, please explain: _______________________________________________________________________________________________________________________<br />

__________________________________________________________________________________________________________________________________________<br />

CHURCH INFORMATION (Where you currently attend)<br />

Church Name ________________________________________________________________________ Pastor _____________________________________________<br />

Address __________________________________________________________________________________________________________________________________<br />

City, State, Zip ______________________________________________________________________________ Phone (_________) __________________________<br />

How long have you attended, and in what ways are you involved in your church __________________________________________________________________<br />

__________________________________________________________________________________________________________________________________________<br />

__________________________________________________________________________________________________________________________________________<br />

PERSONAL STATEMENTS / DOCTRINAL STATEMENT, PHILOSOPHY & STANDARDS OF CONDUCT<br />

Please respond to the following statements. Your response to each statement should be a minimum of one page (typed, double-spaced), using Scriptural<br />

references as appropriate. Limit total response to no more than three pages.<br />

• How has the Lord been working in your life since leaving TMC<br />

• Explain why you desire to return to <strong>The</strong> Master’s <strong>College</strong>.<br />

Please familiarize yourself with our TMC Doctrinal Statement, Biblical Philosophy and Standards of Conduct, available at: www.masters.edu/doctrine and<br />

www.masters.edu/handbook<br />

Should you decide to register <strong>for</strong> classes you will be asked to be accountable to the guidelines and standards laid out in these documents.<br />

STATEMENTS AND CERTIFICATIONS<br />

STATEMENT OF EDUCATIONAL PURPOSE I certify that I will use any money I receive under the Title IV, HEA loan, grant, student employment, or scholarship<br />

program only <strong>for</strong> expenses related to my study at <strong>The</strong> Master’s <strong>College</strong>.<br />

CERTIFICATION OF NON-DEFAULT STATUS Effective January 1, 1986, a student (and parent in the case of a PLUS loan) must not be in default on any loan<br />

made under the Staf<strong>for</strong>d Loan (Guaranteed Student Loan), SLS/PLUS, or Perkins Loan, Title IV, or HEA Loan <strong>for</strong> attendance at any institution, and must not owe<br />

a refund on a grant received in the Pell Grant, ACG Grant, SMART Grant, SEOG or SSIG (Title IV, HEA Grant) <strong>for</strong> attendance at any institution.<br />

CAL GRANT FUNDS All Cal B funds will be applied to your student account unless you request a check <strong>for</strong> the access portion from TMC.<br />

STATEMENT OF CONFIDENTIALITY I hereby grant permission to <strong>The</strong> Master’s <strong>College</strong> to release all in<strong>for</strong>mation pertaining to my financial aid to my parent(s),<br />

legal guardian(s), and/or spouse.<br />

My signature below certifies that:<br />

• I am in compliance with the Statement of Educational Purpose;<br />

• I am in compliance with the Certification of Non-Default Status and I am not in default on any of the above financial assistance programs and have<br />

not borrowed in excess of the loan limits;<br />

• I commit to the provisions of the Statement of Confidentiality; and<br />

• All in<strong>for</strong>mation on this application is true and correct to the best of my knowledge.<br />

Signature of applicant __________________________________________________________________________________________Date ________________________

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