Step 3

Employment and Financial Information

*Please type your email here for ID purposes:

Employment Information

Present Employer:

Name of Company:

Address:

Telephone Number:

Your title or type of work:

Number of years employed at this company:

List your employment for the past five years:

Employer	City & State	Type of Work	Dates (From-To)

Financial Information

We recommend that each student have semester fees (tuition, room/board, books, etc.) paid in full at the time of registration for each semester. Fall term fees are due at August Registration; Spring term fees are due at January Registration.

Will you be able to pay for your first semester in full at Registration?

If you answered “no” you will need to commit to our payment plan prior to Registration.

Indicate the source of funds and list approximate amounts (in US funds) available from each source:

Savings: $

Part-time work: $

Parents: $

VA Benefits: $

Help from Church: $

Social Security (monthly): $

Other (Please Note): $

If a student is in a position where they cannot pay semester fees in full at Registration, they must contact the Admissions Office (before Registration) about payment plans and loans. Approval of a student’s financial plan by the Dean of Administration is required each semester. Once you submit your application, a Student's Statement of Financial Responsibility will be sent to you. You must sign and return this form to the Admissions Office.

Do you have any indebtedness which you cannot meet before you enroll?

If yes, complete the following:

Amount	To Whom	Monthly Payments	Date of Completion	How Indebtedness will be met:

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