Atlantic University Atlantic University
Atlantic University Atlantic University

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

* First Name:
* Last Name:
Maiden Name:
* Address:
Address 2:
* City:
* State:
* Zip:
* Country:
* Phone:
* Email:
*Re-enter Email:
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
  High School Diploma/GED
    Name and Location of High School
    Certificates and Training
    List in chronological order all colleges or universities you have attended.
Professional Affiliations:
How did you hear about Atlantic University?:
*An original essay of at least 750-1000 words (typed, double spaced, Times New Roman, 12 font) addressing the following:
  • How will a Certificate in Spiritual Guidance Mentor Training help you achieve your professional, personal, and educational goals?
  • Since this program is almost exclusively hosted in an online, distance education environment, describe how you will stay self-motivated, independently organized, and focused on your¬†studies while enrolled as a graduate student.
  • Submit the completed essay as a Word document attachment to


*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:
*Name on Credit Card:
* Credit Card Type:
* Card Number:
* Expiration Date:
Print this form

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