Online Registration Home > Online Registration NOTE: Everything in * is a required field Program Preference Bachelor'sMaster'sPhD (Doctorate) Others Specify Major (Area of Interest) Personal Information Salutation MrMrsMissDr First Name Middle Name Last Name Gender MaleFemale Citizenship Date of Birth (MM / DD / YY) Place of Birth National ID Number / Passport Number Others Specify Contact Information Preferred Mailing Address HomeOffice Address City State/Province Zip/Postal Code Country Home Phone Office Phone Mobile Phone 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 -CommunicationsEducationFinancialGovernmentHealth ServicesManufacturingNon-ProfitProfessional ServicesReal EstateResourcesRetail/WholesaleTechnologyTransportationUtility 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 #1 Phone #1 Email #1 Name #2 Phone #2 Email #2 Credit for Work Experience AssessmentDescribe 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 Full Payment PlanThree Split Payment Plan SummaryIn 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 Submit