Admissions Application-New – Holy Transfiguration College

Admissions Application

Please complete the following information in full, any missing information will delay your application and admission process.

Section I: General Information:

Salutation: *
First Name: *	Last Name: *
Birthdate: *	Gender: *
Home Phone:	Mobile: *
Email Address: *	Nationality: *
Address: *	Primary Address City: *
Primary Address State: *	Primary Address Country: *
Primary Address Postalcode:	Marital Status: *
Disability:	Passport: *
Resume: *	Personal Statement: *
Name on Passport: *	Personal Photo *
Age: *	Clergy: *
Tradition: *	Native Language: *

Academic Writing Sample (PDF FILES ONLY) *

(2000 words)

How did you hear about us?

Through a friend

Through an Agora Student or Alumni

Through Agora Staff

Through ASFCS

Section II: English and Testing Requirements

ESL Proficiency: *

ESL Certificate:

GMAT/GRE Requirement: *

GMAT/GRE Certificate:

Section III: Educational Background

University (Undergraduate): *	Degree:
Graduation Date: *	Transcript 1: *
University (Graduate):	Degree (Graduate):
Graduation Date 2:	Transcript 2:

Section IV: Employment Information

Company Name: *	Current Position: *
Current Duties:	Job Start Date:

Section V: Program *

Section VI: References
(Please submit two professional letters of recommendation from Current or previous supervisor, Professor or Church Leader))

Reference 1 Name: *	Reference 2 Name: *
Reference 1 Email: *	Reference 2 Email: *
Reference Letter 1: *	Reference Letter 2: *

Section VII: Scholarship

Are you interested in applying for Scholarship? Yes No

Residents details

Country of Permanent Residence: *

Country of Birth: *

Employment Information

Current Employer: *

Job Title: *

Gross Monthly Income:
Please provide a copy of last three pay slips or HR Letter:

How would you finance the non-scholarship element of your program fees? *

Please detail below how you intend to fund the balance of the program fees *

Do you have children/adults who rely on your income for support? *

Please list full details below.

Reference

Please provide reference as to character, conduct and eligibility for this scholarship. Cannot be a family member. Please attach letter to this application.

Referee's Name: *	Referee's Occupation: *
Referee's Phone Number: *	Referee's Email Address: *

Scholarship Application History

Have you ever been admitted at Agora University before? *

If yes, please provide program name, year, and reason for not joining the program

Have you ever applied for a scholarship with Agora University before? *

If yes, which scholarship, year it was offered, and if you completed the program.

Declaration

I hereby declare that the information contained in this form of application are correct and I confirm that i will notify Agora School of Business of any changes.

I also understand that the scholarship award decision is at the sole discretion of Agora School of Business and that there is no right of appeal.

I confirm that I would be happy to be contacted by Agora School of Business for an interview if required.

By signing your name electronically on this form, You are agreeing that your electronic signature is the legal equivalent of your manual signature on this form. *

Signature: *

Date:

By submitting this application form you certify that the information listed here is accurate and truthful.

(PLEASE CLICK SUBMIT ONLY ONCE, EVEN IF BUTTON DOES NOT CHANGE COLOR)

Admissions are currently closed for the 2023 Entrance. Application will be open again in Spring 2024 for the September 2024 start date.

9253 Old Keene Mill Rd

admissions@agora.edu

1.866.GO.AGORA