Master's International School of Divinity Enrollment Form

NEW & RETURNING STUDENT
ENROLLMENT FORM

INTEGRITY ASSURANCE

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If You Have Been Approved, You Can Enroll at Anytime. To Complete the Enrollment Process Begin Here.
The date of this Enrollment is

I am a New Student. I have completed the Advanced Evaluation process, and have been approved for enrollment.	I am a Returning Student. I have been approved, and am now enrolling for my next course or the next stage of my program.	I am a Graduate. I am returning for a new program. I have been approved for enrollment in the new program.
Select the name of the Admissions Counselor who approved you for enrollment.	I am also a student, employee or family member of an MISD Approved Learning Partner. Select the Learning Partner name.	Select the name of the Admissions Counselor who approved your new enrollment.

Title:

Full Name (including middle initial if any):

Address:

City:

State:

Zip/Postal Code:

Country:

Primary E-mail Address:

Alternative E-mail Address:

Daytime Phone:

Select the Program for Which You Have Been Approved for Enrollment at This Time:

Certificate Program
Undergraduate Program
Graduate Program
Doctorate Program

Please Read and Affirm That You Agree With the Following Policy.

WITHDRAWAL & REFUND POLICY
All withdrawal requests must be made in writing. The withdrawal period is computed from the Registration activation date. The date of withdrawal is the date the letter indicating withdrawal is received in the MISD office. Refundable tuition will be returned within thirty days. The Refund Rate will be computed as follows.

During the first two weeks, the total tuition paid will be refunded...excepting a $50.00 Application Fee, and $100 Registration Fee will be deducted from the refund.
After the second week from the date of registration 80% of the tuition paid will be refunded.
After the third week from the date of registration 60% of the tuition paid will be refunded.
After the fourth week from the date of registration 40% of the tuition paid will be refunded.
After the fifth week from the date of registration 20% of the tuition paid will be refunded.
After the sixth week from the date of registration no tuition paid will be refunded.

Following the end of the Withdrawal & Refund period, all tuition will be due and payable according to the payment option selected at the time of enrollment.

Tuition covers the cost of individual curriculum design, online study guides, examinations, faculty, and administrative counseling. Tuition is payable in U.S. funds, by check from a U.S bank, by money order in U.S. funds, by any of the three major credit cards (Visa, MasterCard, Discover) or by PayPal. Master's reserves the right to change course materials (revise course content, required text, etc.) of a program as deemed appropriate.

Upon enrollment, I agree to abide by the policies of Master's International School of Divinity. I understand that any school to which I might transfer credits or degrees earned at Master's retains the right to accept or decline transfers from this or any other school, and that Master's cannot not assure a 100% transfer guarantee.

YOU ARE ALMOST FINISHED

The final step of enrollment involves payment of your tuition. The amount of your payment at this time will have already been worked out between yourself and your Admissions Counselor. If you do not know the amount or are unsure, please contact your admissions counselor before proceeding. You may do so by calling 1-800-933-1445 or 1-812-471-0611. You may also email:
Dr. Cheryl Durham - Dr. Gary Fair - Dr. Ronald Frazier - Mr. Jim Petty.

PLEASE COMPLETE THE FINANCIAL INFORMATION

The Amount of the Tuition I am Paying now is:
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If This is a Down Payment I affirm that My Payment Plan Been has Explained to My Satisfaction?

I Authorize Master's to Charge the Tuition to My Credit or Debit Card.

Name On the Card Being Used for This Payment:

If the Name on the Card is Different from My Name, I Affirm That I have Permission to Use This Card.

Credit or Debit Card Type:

Card Number:

Date of Expiration:

Zip/Postal Code of the Card Holders Address (if different from above)

Alternative Payment Methods: You may fill in the information above, and before sending, telephone the Divinity School and give your card information. Phone 1-800-933-1445 or 1-812-471-0611, M-F 9:00a - 4:30p U.S. Central Time.

You may also elect to pay by check (mail or Fax), money order, money transfer by Western Union, or by PayPal. Send PayPal to: finance@mdivs.edu. Send postal mail or Western Union to: Master's International School of Divinity, 520 Kimber Lane, Evansville, IN 47715. Fax the front side of your check to: 1-812-471-0877.

PayPal | Western Union

Did you use an Alternative Payment Method?
If so, please select the method.

After your payment is received and processed, your enrollment will be finalized. We will then send to your email address all of the information necessary to access your online Student Landing Page, and you will be ready to begin your first course.

MASTER'S International School of Divinity
PO Box 5009, 520 Kimber Lane, Evansville, Indiana 47716-5009
1-800-933-1445 | 1-812-471-0611 | fax 1-812-471-0877
General info: request@mdivs.edu Copyright © 1999 -