Application for Spiritual Guidance Mentoring Certificate
and Noncredit/Continuing Education Courses

Salutation:
* First Name:
* Last Name:
Maiden Name:
Title:
* Address:
Address 2:
* City:
* State:
* Zip:
* Country:
* Phone:
* Email:
*Re-enter Email:
Gender:
Male Female
Date of Birth:
 
Term and year for which you are applying:      Add last two numbers of the year - example: 2016
Fall 20
Spring 20
Summer 20
 
Program for which you are applying:
  Lifelong Learning, Noncredit Courses
  Spiritual Guidance Mentor Training (SGMT) Certificate
 
Education:
  High School Diploma/GED
    Name and Location of High School
 
 
    Certificates and Training
 
 
 
    List in chronological order all colleges or universities you have attended.
 
 
 
 
Occupation:
 
 
Professional Affiliations:
 
 
 
 
How did you hear about Atlantic University?:
 
Submit your admissions essay to admissions@atlanticuniv.edu. Refer to the noncredit program page for essay guidelines.
 
*I have read the A.U. Tuition Protection Agreement and agree. view...
*The information given is true and correct to the best of my knowledge.
 

A $35 non-refundable fee is required to process your application.

Billing Information:
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* Credit Card Type:
* Card Number:
* Expiration Date:
   

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By submitting this form, you are certifying that the information
given in this application is correct to the best of your knowledge.
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