On-Line Application



Completing this application does not obligate you to enroll and is free of charge. Our Admissions Department will evaluate your application and will be contacting you shortly after you submit this form.
 
* = 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.	
   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 
  Occupation/Job Title 
   Years of Experience 
              Employer 
  Occupation/Job Title 
   Years of Experience 
              Employer 
	
Educational Background:      
	   High School 
	          City 
  	         State 
 	       Country 
    College/University 
	Dates Attended	 From          To
		          
	          City 
  	         State 
 	       Country 
		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 
		 Major  None 
Number of Credits Completed  SemesterQtr.
Have you completed this degree? Yes No

    College/University 
	Dates Attended	 From          To 	      
		          
	          City 
  	         State 
 	       Country 
		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 
     Name of School or
     Training Facility 
              Location 
	Dates Attended	 From          To
                          
       Course of Study
	      or Major 
                       Certificate  
		       Diploma 
       Number of Clock Hours
	of Instruction 
     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.

Tuition:

Please Check Program of Interest:
 Certificate in Business Management - $600 (should be paid in one payment)
 Certificate in Financial Accounting - $600 (should be paid in one payment)
 Certificate in Human Resources Management - $600 (should be paid in one payment)
 Certificate in Logistics & Supply Chain Mgt. - $600 (should be paid in one payment)
 Certificate in Marketing Management. - $600 - (should be paid in one payment)
 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) 376-0125
            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 hereby certify that the information provided here is accurate. I also certify 
that as a bachelor's degree applicant I have already completed my high school diploma or as a master's 
degree applicant I have already completed my high school diploma and a recognized bachelor's degree.
 
Applicant's Name: 
        Date: 	 MM/DD/YY

 

 

 

 

 

 

 

 

 

 

 

 

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