* = Required *First Name *Last Name Middle Initial *Sex Male Female *Date of birth Place of birth Social Security #
* = Required
*First Name *Last Name Middle Initial
*Sex Male Female
*Date of birth Place of birth
Social Security #
*Home Address Apt.#/Suite *City *State/Province *Zip/Postal code *Country Work Phone *Home Phone FAX *E-mail Your application evaluation results will be e-mailed to this account. Please provide an e-mail address you check often.
*Home Address Apt.#/Suite *City *State/Province *Zip/Postal code *Country
Work Phone *Home Phone FAX *E-mail Your application evaluation results will be e-mailed to this account. Please provide an e-mail address you check often.
Do you have access to a Personal Computer? Yes No
Is your PC equipped with a CD-ROM Drive? Yes No
Do you have internet access and email account? At Work? Yes No
At Home? Yes No
Can you create, save, and manage files on your computer?
Yes No
Employment History:
Occupation/Job Title Years of Experience Employer
Educational Background:
High School City State Country
College/University Dates Attended From To City State Country Degree NoneAssociate's DegreeBachelor's DegreeMaster's DegreeDoctorate Degree Major None Number of Credits Completed SemesterQtr. Have you completed this degree? Yes No
College/University Dates Attended From To City State Country Degree NoneAssociate's DegreeBachelor's DegreeMaster's DegreeDoctorate Degree Major None Number of Credits Completed SemesterQtr. Have you completed this degree? Yes No College/University Dates Attended From To City State Country Degree NoneAssociate's DegreeBachelor's DegreeMaster's DegreeDoctorate Degree Major None Number of Credits Completed SemesterQtr. Have you completed this degree? Yes No
Additional Information:
Specialized Training:
Name of School or Training Facility Location Dates Attended From To Course of Study or Major Certificate Diploma Number of Clock Hours of Instruction
Distance Learning Questionnaire: Please select a response to the following 7 questions:. 1. Feeling that I am part of a class is: Not particularly necessary to me. Somewhat important to me. Very important to me. 2. I would classify myself as someone who: Often gets things done ahead of time. Needs reminding to get things done on time. Puts things off until the last minute or doesn't complete them. 3. Classroom discussion is: Rarely helpful to me. Sometimes helpful to me. Almost always helpful to me. 4. When an instructor hands out directions for an assignment, I prefer: Figuring out the instructions myself. Trying to follow the directions on my own, then asking for help as needed. Having the instructions explained to me. 5. Coming to campus on a regular schedule is: Extremely difficult for me I have commitments during times when classes are offered. A little difficult, but I can rearrange my priorities to allow for regular attendance on campus. Easy for me. 6. As a reader, I would classify myself as: Good I usually understand the text without help. Average I sometimes need help to understand the text. Slower than average. 7. When I need help understanding the subject: I am comfortable approaching an instructor to ask for clarification. I am uncomfortable approaching an instructor, but do it anyway. I never approach an instructor to admit I don't understand something.
Distance Learning Questionnaire:
Please select a response to the following 7 questions:.
1. Feeling that I am part of a class is: Not particularly necessary to me. Somewhat important to me. Very important to me.
2. I would classify myself as someone who: Often gets things done ahead of time. Needs reminding to get things done on time. Puts things off until the last minute or doesn't complete them.
3. Classroom discussion is: Rarely helpful to me. Sometimes helpful to me. Almost always helpful to me.
4. When an instructor hands out directions for an assignment, I prefer: Figuring out the instructions myself. Trying to follow the directions on my own, then asking for help as needed. Having the instructions explained to me.
5. Coming to campus on a regular schedule is: Extremely difficult for me I have commitments during times when classes are offered. A little difficult, but I can rearrange my priorities to allow for regular attendance on campus. Easy for me.
6. As a reader, I would classify myself as: Good I usually understand the text without help. Average I sometimes need help to understand the text. Slower than average.
7. When I need help understanding the subject: I am comfortable approaching an instructor to ask for clarification. I am uncomfortable approaching an instructor, but do it anyway. I never approach an instructor to admit I don't understand something.
Tuition:
Please Check Program of Interest:
Certificate in Business Management - $900
Certificate in Financial Accounting - $900
Certificate in Human Resources Management - $900
Certificate in Logistics & Supply Chain Mgt. - $900
Certificate in Marketing Management. - $900
Bachelor's Degree in Management - $5,000
Bachelor's Degree in Business Administration - $5,000
Master of Business Administration - $5,000
Bachelor's and Master's Degree Program - $8,000
Elective Program
Tuition and Registration Fees Payment Options:
Option A: One will obtain a 5% discount if total tuition fees are paid in two equal
installments. The first payment is due upon acceptance of the enrollment agreement.
The second payment should be made within 30 days after enrollment.
Option B: Pay-as-you-go. FTU will work individually with you to develop a payment plan
that meets your financial circumstances.
Scholarships:
If you are a degree program applicant, are you interested in receiving a partial tuition scholarship? Yes No
Please send the following documents by fax, mail or email attachment. Copies will suffice for evaluation purposes: Copies of your previous college transcripts (if any) Printable Transcript Request Form (requires Adobe Acrobat Reader) Copies of your CLEP, ACT-PEP, DANTES (if any) Copies of your professional certificates, licenses and corporate training programs (if any)
These items should be mailed, faxed or emailed to: Frederick Taylor University 346 Rheem Boulevard, Suite #203 Moraga, CA 94556 fax: (925) 376-0908 email: admissions@ftu.edu
UNDERSTANDINGS:
I have read and fully understand the concept of education utilized by the University. I understand that within10 business days of receiving my application, Frederick Taylor University will inform me of the status of my application. I understand that there are no interest charges on the time of payment plan and no cost for textbooks and study materials. I hereby certify that the information provided here is accurate.
Applicant's Name: Date: