Atlantic University Graduate Application

To submit your application, use the form below. A minimum of a Bachelor Degree is required prior to enrolling in the Master of Arts Program or Graduate Certificate in Integrated Imagery: Regression Hypnosis or Mindful Leadership.

Required Responses*
* First Name:
* Last Name:
Maiden Name:
* Address:
* City:
* State:
* Zip:
* Country:
* Phone:
* Email:
Date of Birth:

* Application Type:
  • Master of Arts in Transpersonal Psychology
  • Master of Arts in Mindful Leadership
  • Graduate Certificate in Integrated Imagery
  • Graduate Certificate in Mindful Leadership

For Government
reporting purposes,
please indicate one
of the following.
Your racial origin is:

Atlantic University is fully committed to equal opportunity and does not discriminate on the basis of race, color, gender, sexual orientation, national and ethnic origin, political affiliation, or disability. The rights, privileges, programs, and activities generally accorded or made available to students by the University, including educational policies, admission policies, scholarship programs, and other school administered programs, are the same for and available to all persons.

How did you learn
about AU?

Visa Information: If you are a citizen of a country other than the United States and residing in the U.S., list your country and visa status:
Country: Visa Status:

*(1) College:
*Dates Attended:

(2) College:
Dates Attended:

(3) College:
Dates Attended:

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Billing Information:
A $50 non-refundable fee is required to process your application.
* Name on Credit Card:
* Credit Card Type:
Do you plan to utilize any military benefits as funding for your education?
Military Benefits: Yes | No
* Card Number:
* Expiration Date:


By submitting this form, you are agreeing to our collection, storage, use, and disclosure of your personal info in accordance with our privacy policy.


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