Columbus International University
                              
 
 

Online Registration

   
NOTE: Everything in * is a required field
Program Preference
Others Specify
Major (Area of Interest)*
Personal Information
Salutation *
First Name *
Middle Name
Last Name *
Gender *
Citizenship *
Date of Birth (MM / DD / YY) *
Place of Birth *
National ID Number / Passport Number *
Others Specify
Contact Information
Preferred Mailing Address *
Address *
City *
State/Province *
Zip/Postal Code *
Country *
Office Phone
Home Phone
Mobile Number
Desired Contact Phone*
Fax
Email *
Organization Information
Organization/Employer
Position
Start Date
Organization Address
City
State/Province
Zip/Postal Code
Country
Phone
Fax
Website
Email
Category which best describes your industry / organization:
Category
Others (specify)
Academic History
Secondary School *
Location *
Major *
Attendance Dates*
Date Diploma (Equivalent) Granted *
GPA (Grade)*
College
Name
Location
Major
Attendance Dates
Date Degree Granted
GPA
University
Name
Location
Major
Attendance Dates
Date Degree Granted
GPA
Please provide two references
Name*
Phone
Email*

Name*
Phone
Email*
Credit for Work Experience Assessment
Describe your professional experience relating to the degree you are seeking
Position 1
Duties & Responsibilities *
Number of years*

Position 2
Duties & Responsibilities
Number of years

Position 3
Duties & Responsibilities
Number of years

Position 4
Duties & Responsibilities
Number of years

Position 5
Duties & Responsibilities
Number of years
Tuition
Tuition*
Summary
In your own words describe your qualifications for the degree program for which you are seeking evaluation.
Summary*
Declaration
I declare that all statements in this application are complete and correct to the best of my knowledge*

  

NOTE: Kindly Email all attachments to admission@ciuohecampus.com



 

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